Literature Review

Hospice handoffs may lower odds of Medicare denials Medscape, by Lara Salahi; 4/29/24Clearer communication between primary care clinicians and hospice providers may decrease the number of denied Medicare approvals for end-of-life treatment, according to a small study presented on April 18 at the American College of Physicians Internal Medicine Meeting 2024. Tyler Haussler, MD, acting medical director at  Brookestone Home Health & Hospice in Carney, Nebraska, said he conducted the study. ... CMS requires a "face-to-face encounter" between a physician and hospice caregiver to communicate clinical findings and determine the patient's terminal status. Missing or incomplete documentation of a patient's medical condition remains one of the main reasons the agency denies hospice coverage. 

[Sample] Letter: Hospice workers deserve thanks during Volunteer Appreciation Month Commonwealth Ripon Press (Ripon, WI), Letter to the Editor by Meredith Schluter; 4/18/24April is Volunteer Appreciation Month and I want to attest to the incredible impact that caring volunteers make in the lives of others in our community. Compassus Hospice in Neenah is an organization that cares for individuals experiencing life-limiting illnesses. ... From directly interacting with patients and families to working with care team members behind the scenes to help operations run smoothly, [volunteers] provide a vital service. The nationwide impact of hospice volunteers is just as significant. According to the National Hospice and Palliative Care Association, volunteers care for more than 1.5 million hospice patients each year, totaling millions of hours of care annually.Editor's Note: How are you expressing appreciation for your volunteers? This "Letter to the Editor" creates community awareness and provides a call for new volunteers. You have 11 more days to continue April's Volunteer Appreciation Month. What have you done? What more can you do?

Care for Alzheimer's on Medicaid is unorganized, frustrating, inhumanThe Indianapolis Star, by Darcy Metcalfe; 4/14/24What it is like to die of Alzheimer’s in America? Without a doubt, it is nothing as it is portrayed on NBC’s hit series This is Us. At the end of this series, the character Rebecca dies from Alzheimer’s and falls peacefully asleep, snuggly tucked in her warm bed at home, surrounded by family and 24-hour skilled nursing care. Throughout the six seasons of This is Us, I simultaneously witnessed my father’s slow dying from Alzheimer’s in a reality that was worlds away from Rebecca’s. ...

CT Hospice says it can’t provide home care under bill to protect healthcare workersCT News Junkie, by John Ferraro; 4/16/24Connecticut Hospice has warned lawmakers it will be unable to care for gravely ill patients in their homes under a proposed law aimed at protecting home healthcare workers. At issue is Senate Bill 1, which would require organizations that care for people in their homes to conduct background checks on the clients and anyone in the location where care is being given. ... Barbara Pearce, the chief executive officer of Connecticut Hospice, urged lawmakers to remove Connecticut Hospice from entities that would be required to conduct those background checks, noting that the organization which provides end-of-life care is typically called into homes when a patient has days left to live. “Our national hospice organization could find no similar bill in any other state,” Pearce wrote in testimony to the Public Health Committee. “This bill is too broad, too unclear as to requirements, not guaranteed to achieve its aims, duplicative of other procedures required in hospice care, and contradictory to certain regulations of Medicare.” ...Editor's Note: See the previous article in our newsletter today, After death of nurses, CT lawmakers look for solutions: 'We just cannot ignore that risk'.

To stand pat or not: When home health providers should expand service offerings Home Health Care News, by Joyce Famakinwa; 4/12/24 When it comes to expanding their business portfolios, home health leaders can continue to do what they know best, or they can decide to branch out. Leaders at companies like Choice Health at Home and The LTM Group have found themselves in this exact position. As a result, they have created a framework for determining when to diversify their business portfolios versus when to focus on developing their core care services. ...

NHPCO's CaringInfo program launches new consumer blog, insights NHPCO Press Release; 4/15/24 CaringInfo, a program of the National Hospice and Palliative Care Organization (NHPCO), has launched a new consumer blog, Insights, offering timely and practical content on serious-illness care and services from a variety of perspectives in both English and Spanish. ... CaringInfo also offers more information about advance directives and free advance directives and instructions for all 50 states plus Puerto Rico and Washington DC in both English and Spanish, downloadable as PDF files.

Pilot program leads to 42 percent reduction in resident falls McKnights Senior Living, by John O'Connor; 4/15/24 A tech-based pilot program has helped Allegro Senior Living reduce resident falls by 42%, the company announced Thursday. As a result, the Grayslake, IL-based firm plans to expand the program to more of its 16 communities. For the pilot, Allegro partnered with SafelyYou. The tech-based firm uses a blend of AI video technology and around-the-clock remote clinical support. The combination helps  detect falls and identify underlying causes.

Home Healthcare Market worth $383.0 billion by 2028 Iowanews Headlines; 4/11/24 [The] Home Healthcare Market in terms of revenue was estimated to be worth $250.0 billion in 2023 and is poised to reach $383.0 billion by 2028, growing at a CAGR of 8.9% from 2023 to 2028 according to a new report by MarketsandMarkets™. The primary drivers propelling the growth of this market are the aging population, rising healthcare expenditures, and the increased need for home care due to technological advancements in home healthcare.

AI in palliative and end-of-life care: "How new technology makes us feel is important" Marie Curie, by Dr. Ami Nwosu, Research Lead at the Marie Curie Hospice, Liverpool, UK; 4/11/24... People who require palliative and end of life care require specific physical, emotional, psychological and social needs, which requires holistic assessment and support. Although there are more opportunities to use AI technologies in palliative care, there may be concern from family caregivers that technology may be unable to provide the person-centered, human connection which may be desired when people are at their most vulnerable.

Privacy bill could have sweeping impact on insurers, providers Modern Healthcare, by Michael McAuliff; 4/10/24A far-reaching new privacy bill could have major implications for how healthcare providers, insurance companies and third parties handle and utilize sensitive data. While the bipartisan American Privacy Rights Act of 2024 is not specific to the healthcare industry, a number of its proposed policies would impact how healthcare companies do business. The legislation includes an array of provisions that range from raising cybersecurity standards to allowing people to opt out of algorithms that could be used to make medical decisions.

New study calls home health star ratings into question McKnights Home Care, by Adam Healy, 4/11/24A comparison of agency-reported functional measures and claims-based hospitalization measures raises doubts about the value of star ratings as a means of evaluating home health agency (HHA) quality. The study, published Wednesday in JAMA Network Open, analyzed differences between claims-based and agency-reported outcomes for nearly 23 million patient episodes before and after the introduction of the star ratings system to compare changes over time. 

Providers still navigating Change outage as systems are restored Modern Healthcare, by Lauren Berryman; 4/10/24 Providers are seeing some improvements following the Change Healthcare cyberattack nearly two months ago, but not necessarily because they are reconnecting to restored systems. Hospitals and medical groups are submitting claims to payers through alternate vendors, allowing them to generate cash. But the level of claims and payments moving among healthcare organizations that had heavily relied on Change Healthcare is still far from normal.

Why home-based healthcare could invite cyberattacks Modern Healthcare, by Diane Eastabrook; 3/29/24 Cybersecurity experts warn that as more healthcare is provided in patients’ homes, the flow of data between those locations, vendors and providers raises the risk for ransomware attacks. In the wake of the Change Healthcare attack, cybersecurity consultants are scrutinizing home-based care — particularly the storage and transfer of data through telehealth, remote patient monitoring and wearable devices.