Literature Review

Building blocks of hospice family caregiver support Hospice News; by Holly Vossel; 9/24/25 Untapped reimbursement opportunities exist when it comes to developing a sustainable family caregiving infrastructure in the face of rising demand for home-based hospice care. ... Among the payment avenues with potential to improve support for caregivers is the Medicaid-funded Structured Family Caregiving (SFC) program. SFC coverage includes a modest financial stipend to health care providers that offer home- and community-based services for caregivers. ... Roughly 63 million Americans are family caregivers, an increase of nearly 50% since 2015, according to a report from the National Alliance for Caregiving and AARP. About one-in-every-four adults is a caregiver to a family member, with 40% of these individuals providing high-intensity care, the report found. About half of the nation’s caregivers reported negative financial impacts, with one-in-five unable to afford basic needs such as food and 25% taking on debt. Additionally, one-in-five caregivers have poor health outcomes, the report found.Editor's Note: Are you aware that the 2008 CMS Hospice Conditions of Participation identify the "family" 423 times? (Yes, I've searched, counted, and categorized.) Click here for AARP's 2025 edition of Caregiving in the US.

Study provides new insight into loneliness among home care recipients McKnights Home Care; by Paul Katz, MD and Barbara Resnick, PhD; 9/22/25 ... A team of international Investigators, led by researchers at the University of Waterloo, recently reported on the link between loneliness and mortality among home care recipients in Canada, Finland and New Zealand. The study can be found in the July issue of the Journal of the American Medical Directors Association (Vol 26 (7) 105687 July 2025). ... Home care recipients may be more prone to loneliness, given mobility and sensory problems that limit engagement in the community.  ... Interestingly, investigators noted that individuals with less informal care had the highest rates of loneliness. An explanation may be that those with less complex health needs requiring  less support from family members may lead to more social isolation.

Community turns out for Banner's Senior ExposCleveland Daily Banner, Cleveland, TN; by Will Bublitz; 9/19/25 Hundreds of seniors enjoyed the food, door prizes, free samples and information to improve their lives during the Living 55Plus Senior Expo, held Thursday in Wacker Commons at the PIE Innovation Center in Cleveland. This was the sixth year for this popular and free event sponsored by the Cleveland Daily Banner. It was co-sponsored by Bradley Medical Center, Cleveland Utilities, Garden Plaza of Cleveland, Ahlberg Audiology, Companion Funeral Homes and Life Care Center of Cleveland. "The 2025 55Plus Senior Expo was the best expo thus far, with the most vendors and attendees yet," said Joyce Taylor, publisher of the Cleveland Daily Banner. [Vendors included, but were not limited to Adoration Hospice, Hearth Hospice,  and Hospice of Chattanooga.]

Serious illness communication in homecare nursing: A concept analysisJournal of Hospice and Palliative Nursing; by Christine S Davidson, Olga Ehrlich, Toni L Glover; 8/25Many seriously ill patients receive nursing care at home to manage their illness [and] there is a growing overlap between homecare and palliative or hospice care. In the homecare setting, nurses may be uncertain about their role and responsibility for engaging in "serious illness communication." The term "serious illness communication" is sometimes used ambiguously, overlapping with other terms such as goals of care discussions or end-of-life conversations. Proponents of serious illness communication emphasize the need for a shift from traditional advance care planning toward a real-time, patient-centered dialogue adaptive to the evolving nature of serious illness.

Medicare cuts & tech gaps drive home health nurse exodus Access Newswire - Regulatory; by Black Book Survey; 9/16/25 Black Book Research today released 2025 survey findings from U.S. home health executives, finance leaders, and clinical directors showing that technology inefficiencies are a primary driver of nurse attrition. Respondents also warn that proposed Medicare home health payment reductions totaling 6.4% over 2026-2027 will intensify workforce pressure unless agencies can invest in modern IT.Key 2025 Survey Findings (U.S. Home Health & Hospice):

‘A playbook for best practices’: ASCO and COA release updated Oncology Medical Home Standards The ASCO Post; by ASCO (American Society of Clinical Oncology); 9/10/25 ASCO and the Community Oncology Alliance (COA) have released updated standards for its Oncology Medical Home (OMH) certification program, which were initially codified and published in 2021. The 2021 systematic literature review focused on the topics of OMH model of care, clinical pathways, and survivorship care plans. Among the 2025 updates are new standards that address “just culture” and safety in oncology, multidisciplinary team management, and geriatric assessment.

Raising the standard of Arizona’s dementia care Lovin' Life; by Lin Sue Flood; 9/7/25 Arizona is setting a bold new standard to better support families impacted by dementia. A groundbreaking state mandate requires all memory care facilities to provide up to 12 hours of specialized dementia training to their staff, plus four hours of continuing education each year. This extensive training combines online video modules with hands-on, in-person skills sessions. Hospice of the Valley’s experienced Dementia Team is leading the way as one of the agencies the Arizona Department of Health Services has approved to deliver this comprehensive training. The nonprofit organization is unique in offering it as a free community service.

Pennant announces home health acquisition in Wyoming Pennant Group, Eagle, ID; Press Release; 9/3/25 The Pennant Group, Inc. (NASDAQ: PNTG), the parent company of the Pennant group of affiliated home health, hospice, home care and senior living companies, announced today that effective September 1, 2025, it has acquired a premier home health agency and outpatient therapy operation in Wyoming. Both businesses, which will continue operating as Healing Hearts Home Health and Healing Hearts Outpatient Therapy, will serve communities in Gillette and Moorcroft, expanding Pennant’s service area in the region.

70% of Americans oppose Medicare home health cuts, national poll finds National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/4/25A new national poll by Fabrizio Ward, commissioned by the National Alliance for Care at Home (the Alliance), finds that seven in ten Americans oppose the Centers for Medicare & Medicaid Services’ (CMS) 2026 Medicare home health proposed rule, which would slash Medicare home health funding by an additional 9%, or $1.1 billion, next year. These cuts would put lifesaving home health care for millions of Americans at risk, particularly seniors and those with disabilities, while doing nothing to address fraud, waste, and abuse occurring in the home health payment system.  

Charlton senior care facility moves hospice, palliative care services to Gardner subsidiary Worcester Business Journal (WBJ), Worcester, MA; by Mica Kanner-Mascolo; 8/29/25 The Overlook, a senior care facility, has transitioned its home health, hospice and palliative care services to a Central Massachusetts care system as the Charlton-based operation aims to refocus its core offerings at its flagship location. The Overlook offloaded its home health, hospice and palliative care offerings provided through its Visiting Nurse Association to Gardner-based Care Central VNA & Hospice, effective Thursday. “For more than 25 years, OVNA has been privileged to care for thousands of residents/patients, providing comfort, dignity, and support in their homes,” Tameryn Campbell, president and CEO of The Overlook, said in a Thursday press release. “We are heartened to find a mission-minded, non-profit organization in Care Central VNA & Hospice.”

Advocate Health investing $3B across rural footprint: 8 things to know Becker's Hospital Review; by Alan Condon; 8/15/25 Charlotte, N.C.-based Advocate Health is investing more than $3 billion across its rural operations to preserve care access, expand services and build a sustainable pipeline of providers for the future. The investment comes at a time when nearly half of rural hospitals are operating at a loss and 800 are at risk of closure, according to an analysis by the Center for Healthcare Quality and Payment Reform. Twenty-one of Advocate Health’s nearly 70 hospitals are located in rural counties across six states, along with more than 320 rural clinics and a network of mobile and virtual programs [including hospice care]. 

The mixed home-based care dealmaking outlook Home Health Care News; by Joyce Famakinwa; 8/18/25 ... Kris Novak, managing director of The Braff Group, explained that M&A experts are seeing similar volumes to the last couple of years. While some segments of home-based care face significant challenges that can slow dealmaking, others are insulated from some external factors. Overall, an uptick in transaction activity is right around the corner. ... Novak noted that, in addition to home care, we can expect to see a number of hospice acquisitions as the year continues. ... Novak also predicts that we may see PE interest in what are described as more niche segments of home-based care, such as private-duty nursing or pediatrics.

Medicaid payments and racial and ethnic disparities in Alzheimer disease special care unitsThe Journal of the American Medical Association - JAMA Network Open; by Huiwen Xu, PhD, Shuang Li, PhD, John R. Bowblis, PhD, Monique R. Pappadis, PhD, Yong-Fang Kuo, PhD; James S. Goodwin, MD; 8/4/25 In this cohort study of 13, 229 nursing homes, those with higher proportions of Black or Hispanic residents were less likely to have Alzheimer disease special care units. The disparities among nursing homes serving high proportions of Black residents, however, narrowed and even disappeared in states with higher Medicaid payment-to-cost ratios. ... This study suggests that more generous Medicaid payments may be associated with improved availability of specialized dementia care in nursing homes that serve primarily marginalized Black residents.