Literature Review

Big Bend Hospice launches Nutrition Shake Drive to support Jefferson County Patients WTXL-27 ABC, Tallahassee, FL; by Crystal Whitman; 5/8/26 Big Bend Hospice in Jefferson County is calling on the community to help provide vital nutrition for local hospice patients through a month-long Nutrition Shake Drive. For many in hospice care, eating full meals can be difficult or impossible. Meal replacements like Ensure, Boost, and Glucerna offer comfort and essential nutrients, but they are often not covered by health insurance, leaving families — especially in rural areas — to shoulder the cost themselves.

Palliative care loss hits Durango patients The Durango Herald, Durango, CO | Letters to the Editor; by Stacey Ebel; 4/24/26 My emotions are running high after learning about CommonSpirit Mercy Hospital discontinuing their palliative care program. ... My mother moved here in 2020 with numerous health issues, and I enrolled her in palliative care as I knew that at some point she would need to transition to hospice. Her palliative care nurse practitioner, Jen, visited my mother monthly in her apartment ...  Potential and past patients will now have to go to the ER or their personal PCPs for treatment. Recently, the last palliative care nurse had to discharge 200 patients. 

CMS announces $50 billion Rural Health Transformation Program: What providers and states need to know JD Supra; by Margia Corner, Alexandria Foster, Kendall Kohlmeyer; 2/2/26On December 29, 2025, the Centers for Medicare & Medicaid Services (“CMS”) announced that it will distribute award amounts to all 50 states under the first year of the Rural Health Transformation Program (the “Program”). ... The Program’s $50 billion in funds will be allocated over five years, with $10 billion available each year beginning in 2026. ... Under Public Law 119-21, funding must be distributed to states as follows: ...

Big Bend Hospice expands its mission and services across the Florida Panhandle Big Bend Hospice, Tallahassee, FL; by Cristal E. Baer; 1/6/26 ... Beginning in January 2026, hospice services will expand into Jackson, Calhoun and Gulf Counties, marking the first phase of a thoughtful, long-term effort to ensure individuals and families throughout the region have access to the care and support they need. ... This growth represents the first step in a broader, long-term commitment to the Florida Panhandle. While the immediate focus is on delivering exceptional hospice care, the expansion also creates opportunities for future service growth that will further strengthen support for individuals and families throughout the region.

Bereavement service deserts: A 2024 statewide assessment of  bereavement services Death Studies, open access; by Christopher W. Giang, Luisa Kcomt, Joshua Truchan, Kara Dickinson, Rebecca J. Evans-Polce & Sean Esteban McCabe; 12/5/25 ... This paper introduces the term “bereavement service desert” to describe geographic areas with high mortality and little to no access to bereavement services. Bereavement services deserts are especially concerning where elevated death rates are met with an absence of formal grief supports, trained providers, or community-based resources. As these trends in death have continued to rise over the last decade, the social and economic costs of unresolved grief are becoming more apparent in families, schools, com munities, workplaces, and healthcare systems. ...Editor's Note: Though this research focuses on bereavement agencies across Michigan's 83 counties, its methodologies and outcomes provide data, references, and insights relevant to examining bereavement care in all U.S. states. What are the "bereavement service deserts" in the your state(s)? In the areas you serve?

NCPA and USC launch first publicly available tool to identify pharmacy shortage areas across America National Community Pharmacists Association (NCPA), Alexandria, VA; Press Release; 11/4/25 The National Community Pharmacists Association (NCPA), in collaboration with the University of Southern California (USC), unveiled an interactive, user-friendly pharmacy shortage area mapping tool available to the general public for the first time. Previously accessible only to select individuals and organizations, the public [can now] identify pharmacy shortage areas and understand access challenges in their local communities. ... The mapping tool reveals that approximately one in eight U.S. neighborhoods — representing millions of Americans — persistently lack convenient access to pharmacy services. In rural areas and underserved urban communities, the problem is far more severe, with some states and counties experiencing shortage rates approaching 50 percent.

Home health groups press for a piece of rural health funding Modern Healthcare; by Diane Eastabrook; 9/2/25 Key Takeaways

Rural hospitals eye service expansions to weather federal cuts Modern Healthcare; by Alex Kacik; 7/14/25 Rural hospitals are hopeful they can add rather than reduce services to help soften the blow from looming Medicaid and Medicare cuts. ...  If rural providers cannot recruit physicians, lean more heavily on philanthropic donors or find other ways to reduce their reliance on Medicaid and Medicare reimbursement to get ahead of cuts in the law, hospitals will be forced to pare back services or close their doors, industry observers said. ... In response, rural providers have accelerated ongoing operational adjustments, including renegotiating vendor contracts, beefing up their coding and billing processes, freezing new hires and standardizing daily tasks to reduce administrative waste. But those tweaks alone cannot sustain rural hospitals, so some providers are aiming to grow surgeries, infusions and other services to boost their bottom lines, executives said.

Chapter 6: Medicare’s measurement of rural provider quality MedPAC; 6/12/25 ... Because of low patient volumes in many rural health care settings, there are practical challenges in measuring some individual rural providers’ quality of care and in holding these providers accountable in quality reporting programs. ... The Commission acknowledged these difficulties when it established specific principles to guide expectations about quality in rural areas. These principles were developed with hospitals in mind but could be applied to other providers. ... [On page 4 of 40] Rural skilled nursing facilities and dialysis facilities had lower shares of providers with publicly reported quality results compared with their urban counterparts; in contrast, rural home health agencies and hospices had higher shares of providers with publicly reported quality results compared with their urban counterparts.Editor's Note: For ranking of hospices by quality scores, examine the National Hospice Locator, provided to the public by Hospice Analytics (a sponsor of this newsletter). 

How 24 rural hospitals look to improve value-based care Modern Healthcare; by Alex Kacik; 5/15/25 Two dozen critical access hospitals in Montana have created a clinically integrated network, following similar rural provider-led coalitions in other states. The Yellowstone High Value Network, announced Thursday, looks to improve independent rural hospitals’ care models while also lowering their costs. The network, which resembles coalitions launched in Ohio, Minnesota and North Dakota through rural hospital advisory firm Cibolo Health, is designed to give hospitals the combined patient volume and technology infrastructure to expand alternative payment models that are tailored to the rural communities where they operate.

The Big Bend Hospice linen drive brings comfort to patients in rural communities: Addressing a critical need in underserved areas ABC WTXL-TV 27, Tallahassee/Monticello, FL; by Lentheus Chaney; 4/30/25 In Jefferson County, kindness sometimes comes in the form of cotton. Big Bend Hospice is collecting linens here to help patients face their final days with dignity. Big Bend Hospice just launched a linen drive. It's asking neighbors to donate new Twin XL-sized bed sheets. They'll be used for patients across Jefferson, Madison, and Taylor counties. The drive's goal is to ensure no one spends their final days without the comfort of clean sheets—something most of us take for granted. The  need is especially great in rural areas. According to state data, hospice use in parts of North Florida lags behind the statewide average—just 57%. That's compared to nearly 66% across Florida. That gap means fewer resources in the places that need them most.

26 rural hospitals band together as national trend emerges Becker's Hospital Review; by Alan Condon; 4/18/25 Twenty-six rural hospitals across Ohio and West Virginia have partnered to form the Ohio High Value Network — a clinically integrated network aimed at strengthening care delivery, improving outcomes and reducing costs for patients. The collaborative includes 25 Ohio hospitals and care sites in more than 115 cities and towns across 37 counties, along with one hospital in West Virginia. Together, they serve a population of more than 2.5 million patients. The network is structured as a CIN and is designed to support both clinical and operational collaboration across its members. Its formation reflects a growing national trend of rural hospitals banding together to preserve independence, drive value-based care and weather increasing financial and regulatory pressures. “We believe that strong collaboration is the best way to sustain high-quality care in our communities,” Myron Lewis, OHVN board chair and CEO of Blanchard Valley Health System in Findlay, Ohio ...