Literature Review

HOPE is raising the stakes for hospice compliance HealthIT Answers; by Michelle Barlow, RN, BSN; 5/11/26 Hospice providers are entering a tougher regulatory environment. ... At the center of these changes is the Hospice Outcomes and Patient Evaluation (HOPE) tool, which replaced the Hospice Item Set in October 2025. ...

Why artificial intelligence displacement threatens medical specialties MedPageToday's KevinMD.com; by H. Michael Boulton, MD; 5/3/26 Diagnostic radiology, as a physician-staffed specialty, will not exist in its current form within 20 years. Neither will diagnostic pathology. Neither, in all likelihood, will the outpatient model of endocrinology or general internal medicine as we currently understand it. These are not fringe predictions from technologists who have never set foot in a hospital; they are the logical endpoint of capability curves that are already clearly in motion, ... I know that will make a lot of my colleagues uncomfortable. I get it. But I would argue the real problem is not the prediction; it is that we keep avoiding the conversation.

How a Sacramento hospice home brings ‘dignity and compassion’ to people experiencing homelessness Capradio, Sacramento, CA; by Sarit Laschinsky and Vicki Gonzalez; 5/1/26 Homelessness is an enduring crisis, both in Sacramento and across California. Local, state and federal officials have poured in billions of dollars to address these issues, but often those who are most vulnerable are left with few resources. This is especially true for people who are living on the streets with a terminal illness, many of whom are seeking care and stability as they navigate a complicated and emotional process. For the past year, a facility in South Natomas has been helping them live out their final days with dignity and respect. Joshua’s House is the first hospice providing end-of-life care to people experiencing homelessness on the West Coast.

Empower Oversight widens state fraud queries to New York Hospice Regulator Empower Oversight Whistleblowers & Research, Washington, DC; Press Release; 5/1/26 Empower Oversight has filed a public records request with New York’s Center for Hospice and Palliative Care, the state agency responsible for regulating the hospice industry, as part of its broader investigation into fraud involving federal taxpayer funds. The request seeks documents that shed light on potential systemic failures in hospice oversight, and on how the agency has identified, responded to, or declined to act on known fraud indicators. ... For a copy of the letter click here.

[For the public] How to protect yourself from hospice fraud CalMatters; by Lynn La; 4/29/26 ... What does hospice fraud entail and how can you protect yourself? ... To avoid being scammed:

Midland Care expands care model with VMA acquisition Midland Care; Press Release; 4/13/26 Midland Care Connection has announced that its subsidiary, Midland Care Physician Services, has acquired Vintage Medical Associates (VMA), a primary care practice focused on serving older adults across northeast Kansas. This acquisition allows Midland Care to more closely coordinate medical and support services, enable streamlined care transitions, and improve communication among providers. Shawn Sullivan, President and CEO of Midland Care, “This acquisition strengthens our strategy to expand access to integrated, person-centered care for older adults.”

Cyberattack: A Path of Care Home Health and Hospice, Oklahoma HIPAA Journal (scroll down for this article); by Steve Alder; 4/22/26 [Scroll down to "A Path of Care Home Health and Hospice"] A Path of Care Home Health and Hospice in Oklahoma has notified 3,849 individuals about a data breach at its business associate, Doctor Alliance. Doctor Alliance notified A Path of Care Home Health and Hospice on January 12, 2026, that it had been affected by the incident. 

“This is the beginning”: DOJ signals intensifying health care fraud enforcement in California Pillsbury; by Christopher Lee, Dylan M. Aste, Fank Kalinski; 4/16/26 Recent U.S. Department of Justice (DOJ) and California Attorney General enforcement activity sends a clear signal that California health care entities that interact with government programs—in particular the hospice and home health industries—are now under intense scrutiny. Companies in these sectors should prepare for subpoenas, Civil Investigative Demands, and searches as a result of federal and state agencies conducting independent and parallel investigations. This uptick in government enforcement is sure to spur qui tam relators and whistleblowers. Unprepared California hospice and home health companies may face significant civil, and even criminal, exposure.

Hospices’ top questions about AI Hospice News; by Jim Parker; 4/17/26 ... Hospices nationwide are implementing AI solutions to build efficiency and improve workflows, as well as aid in clinical decision making and documentation. ... AI is leading the pack in terms of hospice technology investments in 2026. About 36% of hospice leader respondents to Hospice News’ 2026 Outlook Survey indicated that predictive analytics and AI systems will be their top tech investments this year. This was followed by electronic health records at 30% and patient engagement tools at 11%.

The room where my father died changed how I see architecture Time; by Michael P. Murphy; 4/15/26 ... Life had taught me that architecture was the business of making and designing structures. But my father showed me that architecture is brought to life through the stories we tell ourselves, and in the memories of the consequential acts that take place in and around the buildings we share. In this way, architecture becomes more verb than noun as it shapes us. It is a living thing. Maybe this is why my mother later said, all things considered, that my father had “built a beautiful death.” He had also built a beautiful life.

A Phoenix-area hospice provider seeks Chapter 11 protection WhatNow; by Twinkle Jha; 4/10/26 Supportive Hands Hospice Inc., based in Phoenix, AZ has filed for bankruptcy as it works to restructure its finances. Proceedings officially began on April 9, 2026, with a voluntary petition filed in the U.S. Bankruptcy Court for the District of Arizona. The healthcare business’ case is now expected to move through standard bankruptcy procedures, which include required filings and creditor actions.

Regional Home Health and Hospice facility to lay off 161 employees at Greenville site WhatNow; by Deepali Singla; 4/9/26 ECU Health Home Health and Hospice will lay off 161 employees at its facility in Greenville. The company filed a Worker Adjustment and Retraining Notification (WARN) notice with the state. The layoffs follow the shutdown of the Greenville facility. ECU Health Home Health and Hospice filed a WARN notice indicating the closure of its facility at 1005 WH Smith Blvd, Greenville, NC 27834. As a result of the closure, the layoffs are scheduled to take effect on May 1, 2026.

Proposed Rule: FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements. CMS-1851-P DisplayRegulations.gov -  An official website of the United States Government | CMS; 4/6/26 This proposed rule would update the hospice wage index, payment rates, and aggregate cap for Fiscal Year 2027; include an analysis of Medicare non-hospice spending, and proposes requirements that hospices provide the hospice election statement addendum to all Medicare beneficiaries. Additionally, this rule proposes conforming regulation text changes to discharge from hospice care regulations; regulation text changes to the face-to-face encounter regulations; and includes RFI on community palliative care services; hospice specific wage index construction; and the overlap between hospice and medical aid in dying. Finally, this rule proposes changes to the Hospice Quality Reporting Program. In commenting, please refer to file code. CMS-1851-P.