Literature Review



‘Much-needed hospice … vital to our community:’ Mayor Elizabeth Roy salutes Whitby Hospice breaking ground after 8-year effort, millions raised and tireless efforts by volunteers

10/02/24 at 03:00 AM

‘Much-needed hospice … vital to our community:’ Mayor Elizabeth Roy salutes Whitby Hospice breaking ground after 8-year effort, millions raised and tireless efforts by volunteers DurhamRegion.com, Durham, NC: by Tim Kelly; 9/29/24 After many years of hard work and fundraising by dedicated volunteers, Hospice Whitby — Roger Anderson House is about to break ground. For the chief organizers on the committee Hospice Whitby committee, it was time to really enjoy the moment and they made a video to celebrate it. With the building of Whitby’s hospice, the region will have gone from no hospice beds at all to 29 in under five years. 

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The Natural Funeral launches TerraCare Partner Program (TM) to expand terramation services nationwide

10/02/24 at 03:00 AM

The Natural Funeral launches TerraCare Partner Program (TM) to expand terramation services nationwide AccessWire, Boulder, CO; by The Natural Funeral, Inc.; 10/1/24 The Natural Funeral, a leader in sustainable funeral practices, proudly announces the launch of its TerraCare Partner Program™. This innovative initiative empowers funeral homes and crematory operators across the United States to offer terramation, also known as Natural Organic Reduction (NOR), to their communities. The program provides partners with a comprehensive turnkey solution, featuring the firm's advanced, fourth-generation Chrysalis™ vessels. These systems are meticulously designed for precision, efficiency, elegance, and rapid deployment to transform human remains into Regenerative Living Soil™ within just two to four months. "By introducing the TerraCare Partner Program™, we are not only expanding the reach of terramation services but also enhancing the capacity of funeral service providers to meet a critical and growing demand for sustainable end-of-life options," said Mike Reagan, CEO of The Natural Funeral. ... The Natural Funeral has served over 500 families with eco-conscious funeral options, many of whom chose terramation, its most rapidly growing disposition service. 

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BREAKING NEWS 10/1/2024, 12:30pm - Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements; Correction

10/02/24 at 03:00 AM

BREAKING NEWS 10/1/2024, 12:30pm - Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements; Correction Federal Register - The Daily Journal of the United States Government; Centers for Medicare & Medicaid Services  (CMS), Department of Health and Human Services (HHS); 10/1/24 This document corrects technical and typographical errors in the final rule that appeared in the August 6, 2024 Federal Register titled “Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements”.I. Background: In FR Doc. 2024-16910 of August 6, 2024 (89 FR 64202), there were a number of technical and typographical errors that are identified and corrected in this correcting document. The provisions in this correction document are effective as if they had been included in the final rule that appeared in the August 6, 2024 Federal Register . Accordingly, the corrections are effective October 1, 2024.II. Summary of Errors: ...Given these errors, we are republishing the FY 2025 Hospice Wage Index file accordingly on the CMS website at: https://www.cms.gov/​medicare/​payment/​fee-for-service-providers/​hospice/​hospice-wage-index effective October 1, 2024.

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CVS Health to lay off nearly 3,000 workers in cost-cutting drive

10/02/24 at 03:00 AM

CVS Health to lay off nearly 3,000 workers in cost-cutting drive CNN; by Olesya Dmitracova; 10/1/24 CVS Health is planning to cut about 2,900 jobs in an effort to slash costs, the US health care company said Tuesday. “We’ve embarked on a multi-year initiative to deliver $2 billion in cost savings by reducing expenses and investing in technologies to enhance how we work,” a spokesperson said in a statement.  The layoffs represent less than 1% of CVS Health’s (CVS) workforce. “Impacted positions are primarily corporate roles. The reductions will not impact front-line jobs in our stores, pharmacies and distribution centers,” the spokesperson added. The job cuts at the company, which runs a network of pharmacies across the United States among other businesses, add to the 5,000 or so layoffs disclosed last year. In 2021, CVS Health announced that it would close around 900 stores between 2022 and 2024.

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Vitas Healthcare introduces premier hospice care in Bakersfield and Fresno

10/02/24 at 03:00 AM

Vitas Healthcare introduces premier hospice care in Bakersfield and Fresno GlobeNewswire; by Vitas Healthcare; 10/1/24 To meet the growing need for quality end-of-life care in California’s Central Valley, Vitas Healthcare hospice services are now available for residents of Bakersfield and Fresno. With local interdisciplinary teams based in each city, Vitas now offers expert clinical, emotional and spiritual care for seriously ill patients in their homes, nursing homes, assisted living communities and inpatient care settings. 

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[CBS Evening News] Home hospice care in the spotlight as former President Jimmy Carter turns 100

10/02/24 at 03:00 AM

[CBS Evening News] Home hospice care in the spotlight as former President Jimmy Carter turns 100 CBS Evening News Segment; by Jon LaPook and Winick, anchored by Norah O'Donnell; 9/30/24This past spring, Joan Prum's advanced age and increasing frailty ushered in a new reality when she became a hospice patient. "I thought that unless you were really infirm and bedridden, you wouldn't be a candidate for hospice, but it turns out not to be true," Prum said. Healthcare teams provide comfort to hospice patients expected to live no longer than six months. As with all palliative care, trained professionals offer medication and treatments to decrease pain and increase quality of life. But with hospice, attempts to cure a person's illness are stopped. Connecticut Hospice, which oversees Prum's care, became the first hospice in the nation 50 years ago. Predicting how long somebody has to live is difficult, but CEO Barbara Pearce says the patient and their families make the decision to enter hospice. ... "Hospice care involves sitting down at the very beginning and say, what are your goals of care? What do you want your life to look like in the next few months? And how can we help?" Pearce said. Hospice care can be given in nursing homes, assisted living facilities, and places like Connecticut Hospice, but about 99% choose to receive services at home, just like Prum and former President Jimmy Carter. Carter, who turns 100 years old on Tuesday, Oct. 1, is the oldest former president in U.S. history, and has been in home hospice care for the past 19 months.

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Mercy House of the Southern Tier breaks grounds for $2 million expansion to enhance end of life care

10/02/24 at 03:00 AM

Mercy House of the Southern Tier breaks grounds for $2 million expansion to enhance end of life care WNBF News Radio; by Traci Taylor; 10/1/24Mercy House of the Southern Tier recently celebrated the groundbreaking of its highly-anticipated $2 million expansion project, marking a significant milestone in its mission to provide compassionate care for terminally ill patients and their families during life's most challenging moments. ... Linda Cerra, the Executive Director of Mercy House of the Southern Tier, expressed gratitude towards their hospice partner, Guthrie Hospice of Vestal, along with the Guthrie and UHS Palliative Care teams, Broome Oncology, BGH PCU, and Endwell Family Physicians. Their unwavering support ensures that residents receive the utmost compassionate end-of-life care, embodying the core values of Mercy House.

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The road ahead: 2 pressures framing the future of hospice care

10/02/24 at 03:00 AM

The road ahead: 2 pressures framing the future of hospice care Hospice News; by Jim Parker; 10/1/24 The workforce shortage and value-based care will shape the future of hospice, according to some providers. The health care reimbursement environment is moving towards significant change. The U.S. Centers for Medicare & Medicaid Services (CMS) has signaled its intention to align every Medicare beneficiary with a value-based payment system by 2030. To keep pace, hospice providers must start preparing now, according to Phil Ward, president and CEO of Community Hospice of Northeast Florida. We’re implementing quality movement projects now. So that when these changes come we’re not taken by surprise,” Ward said at the National Hospice and Palliative Care Organization (NHPCO) Annual Leadership Conference. ... The second major force that could mold the industry’s future is the staffing shortage, Leigh Anderson, medical director for Our Hospice of Indiana, said during the NHPCO conference. This includes issues like turnover, nurse-to-patient ratios and health care worker burnout, she said.

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SNF, home health [and hospice] CEOs could be jailed over cybersecurity issues under new bill

10/02/24 at 03:00 AM

SNF, home health [and hospice] CEOs could be jailed over cybersecurity issues under new billMcKnight's Senior Living; by Kathleen Steele Gaivin; 9/30/24New legislation aimed at improving cybersecurity in healthcare could see leaders at skilled nursing facilities, home health agencies and hospices jailed if they lie about their cybersecurity precautions, according to one of its sponsors. Senate Finance Committee Chair Ron Wyden (D-OR) and Sen. Mark Warner (D-VA) announced the Health Infrastructure Security and Accountability Act on Thursday. The bill also covers other types of healthcare businesses. “The healthcare industry has some of the worst cybersecurity practices in the nation despite its critical importance to Americans’ well-being and privacy,” Wyden said. “These commonsense reforms, which include jail time for CEOs that lie to the government about their cybersecurity, will set a course to beef up cybersecurity among healthcare companies across the nation and stem the tide of cyberattacks that threaten to cripple the American healthcare system.”

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One Senior Place: What legal steps should be taken after dementia diagnosis?

10/02/24 at 03:00 AM

One Senior Place: What legal steps should be taken after dementia diagnosis? Florida Today; by Brenda Lyle; 10/1/24 After a dementia diagnosis, preparing key legal documents early helps families focus on the quality of life for their loved one. ... Dementia is a term for many progressive neurodegenerative disorders that affect memory, thinking, and behavior. Alzheimer accounts for about 60% of all dementias. As the disease advances, individuals may lose the ability to make informed decisions about their health care, finances and other important aspects of life. Legal planning is absolutely crucial for ensuring that the wishes of the person with dementia are honored and that their affairs are managed appropriately. This planning also helps reduce stress for family members and caregivers. [Click on the title's link to continue reading for basics about Durable power of attorney, Heath care surrogate, Living will, Last will and testament, and Guardianship.]

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CMS finalizes rule to curtail major DME fraud concerns

10/02/24 at 03:00 AM

CMS finalizes rule to curtail major DME fraud concernsMcKnight's Home Care; by Adam Healy; 9/26/24The Centers for Medicare & Medicaid Services finalized a rule this week that will help it better track anomalous and highly suspicious billing activity for durable medical equipment. The rule allows CMS to more closely monitor two Healthcare Common Procedure Coding System (HCPCS) billing codes for urinary catheters: A4352, an intermittent urinary catheter with a curved tip, and A4353, an intermittent urinary catheter with insertion supplies. These two billing codes were behind what may be the largest case of Medicare fraud in the program’s history. In February, the National Association of ACOs (NAACOS) uncovered evidence that fraudsters had used the two codes to loot as much as $3 billion or more from government health programs.

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Brookdale Senior Living to acquire 41 communities for $610 million

10/01/24 at 03:40 AM

Brookdale Senior Living to acquire 41 communities for $610 millionMcKnight's Senior Living; by Lois A. Bowers; 9/30/24Brentwood, TN-based Brookdale Senior Living will acquire 41 communities for $610 million, the company announced Monday morning. The transactions, involving a total of 2,789 units, were privately negotiated and occurred off-market, Brookdale said. After the deals close, Brookdale will own 66% of its consolidated units, aligning with its goal of increasing its owned real estate portfolio.

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Palliative care in kidney cancer more than just relieving symptoms

10/01/24 at 03:00 AM

Palliative care in kidney cancer more than just relieving symptoms Cure; by Ashley Chan; 9/26/24 Patients with kidney cancer who want more support during treatment can consider palliative care, whether it’s for symptoms or discussing goals and values. ... For patients with kidney cancer, understanding how palliative care can help is essential throughout the treatment process. Palliative care, according to the Mayo Clinic, is medical care that specializes in relieving pain and symptoms associated with an illness. This type of care can also help patients cope with treatment-related side effects. However, there’s more to palliative care than just relieving symptoms. It also “aims to help patients and families in one of three major categories,” Dr. Pallavi Kumar explained during an interview with CURE®. Kumar is the director of Oncology Palliative Care and assistant professor of Clinical Medicine in the hematology-oncology division at the University of Pennsylvania. She noted that the three categories of palliative care include:

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Dementia treatments frequently conflict with residents’ care goals: study

10/01/24 at 03:00 AM

Dementia treatments frequently conflict with residents’ care goals: study McKnights Long-Term Care News; by Jessica R. Towhey; 9/30/24 New research into nursing home care for residents with Alzheimer’s disease or related dementias found that they frequently experience costly and burdensome treatments that do not align with their own care goals. Overall, though, researchers found that residents who had comfort-focused orders in their treatment plans did receive goal-concordant care but said that improvements — especially in collecting data — are needed. The study examined the electronic health records for 4,285 long-stay nursing home residents who were diagnosed with moderate to advanced ADRD. The researchers analyzed care records and treatment plans to find comfort-focused orders and other indicators that treatments aligned with residents’ own goals as their health declined. Their results were published this month in the Journal of Post-Acute and Long-Term Care Medical Association.

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City of Hope’s horizon: City of Hope gets $20M for pancreatic disease breakthroughs

10/01/24 at 03:00 AM

City of Hope’s horizon: City of Hope gets $20M for pancreatic disease breakthroughs The Clinical Trial Vanguard; by Ferry Darma; 9/26/24 City of Hope, a leading cancer research and treatment institution, has received a $20 million donation from philanthropists Norman and Melinda Payson. This significant gift will establish a dedicated pancreas center to accelerate groundbreaking research and treatments for pancreatic cancer and diabetes. Inspired by the personal impact of pancreatic cancer on his mother, Norman Payson, a noted healthcare executive and City of Hope board director, expressed confidence in the organization’s capabilities. “City of Hope possesses the unique expertise to drive innovative cures for pancreatic cancer and diabetes,” he stated. “We are committed to advancing this research and bringing hope to countless individuals.”  ... The Paysons’ gift follows a historic $150 million donation from A. Emmet Stephenson Jr. and Tessa Stephenson Brand to fund pancreatic cancer research.

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I asked my dad to write my wedding speech after he was given 6 months to live. I'm holding on to it for my special day.

10/01/24 at 03:00 AM

I asked my dad to write my wedding speech after he was given 6 months to live. I'm holding on to it for my special day. AOL.com - Insider; by Lara Rodwell; 9/29/24 ... I remember the moment my dad told me he had six months to live like it was yesterday. ... "Lar, we need to have a chat," he said, hovering beside the edge of the bed. "I've received some news. It's not good." ... Wrapped in the comforting arms of my dad, I blurted, "Dad, you're not going to walk me down the aisle one day." ... During one sleepless night, it hit me. I wanted to create a keepsake where my dad and I could write letters, share memories and process our feelings, together. I found a tatty old notebook and wrote my first letter to him. ... The very first thing I asked him at the end of the letter, ink smudged with tears, was if he could write his wedding speech for me. ... It was a hot summer's morning, the day my dad died in the care of our local hospice. He'd been there for three weeks — in a lot of pain, stabilized by a lot of morphine — surrounded by his family. .... Later that day, ... amongst pages of financial practicalities and funeral wishes, there was a folder of white envelopes addressed to each of us - his wife and four children. On the front of mine read "Lar...". On the back: "Your wedding speech." To this day, the envelope remains sealed, tucked away at the bottom of my "dad box" — along with the notebook we shared, photo albums of memories, and a collection of swimming medals he wanted me to show his grandkids one day. ...

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Community Crisis and Grief: Public service video and resources for hospice organizations, communities, and persons whose "normal" hospice bereavement can be disenfranchised

10/01/24 at 03:00 AM

Community Crisis and Grief: Public service video for communities, healthcare orgs, and persons whose "normal" hospice bereavement can be amplified and/or disenfranchised Composing Life Out of Loss; by Joy Berger; originally 5/30/22 in response to Uvalde's shootings, updated 9/29/24 in response to Hurricane/Storm Helene September 29, 2024 – We send support to the many communities, families, and individuals affected by Hurricane/Tropical Storm Helene’s devastation and loss. This public service education video defines different kinds of community crises; different groups of persons impacted with basic roles and tasks before and during a community crisis; community grief; and potential effects of community crisis/grief for persons who are already experiencing the “normal” bereavement of a loved one. Editor's note: Disclosure, I am the author/producer of this video; Composing Life Out of Loss is a sponsor for this newsletter. To immediately share with this free, public service video, click here for the link. To embed this video on your website (and thus eliminate any Composing Life branding), click here and complete this contact form. Be sure to leave a phone number for faster turnaround. 

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New coalition launches to advance palliative cancer care

10/01/24 at 03:00 AM

New coalition launches to advance palliative cancer care Hospice News; by Jim Parker; 9/30/24 A new organization, Together for Supportive Cancer Care, launched Monday with a mission to expand access to palliative care among cancer patients. A charitable group, The Sheri and Les Biller Family Foundation, convened more than 40 member organizations, including health care providers, pharmaceutical companies, patient advocacy groups, public policy experts, employers and insurers, among others. “For decades, leaders around our country have worked to show the promise and impact of supportive care programs for people living with cancer, their caregivers and their loved ones,” said Audrey Haberman, the foundation’s CEO, in a statement. “The launch of Together for Supportive Cancer Care builds on this work and is an important step toward creating a health care system where early and ongoing access to supportive care is not a privilege, but a fundamental part of the cancer journey for everyone.” 

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[Florida] 12,200 miles of roads cleared as thousands contribute to recovery efforts after Hurricane Helene

10/01/24 at 03:00 AM

[Florida] 12,200 miles of roads cleared as thousands contribute to recovery efforts after Hurricane Helene CBS-10 Tampa Bay, FL; by Haley Williams; 9/28/24 As damage assessments continued after Hurricane Helene slammed the Florida coast, thousands of state officials and law enforcement officers quickly began working to clear roads and check in with storm victims in rural areas. More than 12,000 miles of roads have been cleared by more than 800 Florida Department of Transportation crews. ... The Agency for Health Care Administration reports more than a hundred healthcare facilities have been evacuated or are running solely on generator power. Saturday morning, 55 healthcare facilities reported evacuations, which included:

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10 vital skills to future-proof healthcare leaders

10/01/24 at 03:00 AM

10 vital skills to future-proof healthcare leaders Becker's Hospital Review; by Laura Dyrda; 9/30/24 The most successful healthcare leaders in the next two years will leave the traditional organizational structures and models in the past in favor of extreme nimbleness, stronger soft skills and optimization of digital technology. Becker's Healthcare connected with 77 leaders from hospitals and health systems across the U.S. who shared the qualities and skill sets that will become more important in the next few years. Here are 10 areas of focus:

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Polk County home health aide accused of sleeping on the job arrested in man’s death: ‘He was old anyway'

10/01/24 at 03:00 AM

Polk County home health aide accused of sleeping on the job arrested in man’s death: ‘He was old anyway' Fox 13, Winter Haven, FL; by Fox 13 News Staff; 9/30/24 A home health aide in Polk County is being held without bond after investigators say she fell asleep, and an 86-year-old man died in her care. ... The Polk County Sheriff’s Office says the victim’s family hired around the clock care from Assisting Hands, which consisted of two 12-hour shifts during the day and night. The victim had recently been hospitalized and was diagnosed with congestive heart failure. He was also receiving services from Good Shepherd Hospice. ... After the day shift nurse left, investigators say Taylor fell asleep on the couch in the living room, which is against company policy that states she should not have been sleeping. Deputies say Taylor woke up around 1 a.m. on August 16 and heard a thump coming from the victim’s bedroom. According to PCSO, Taylor went into the bedroom and saw the victim lying on his right side, on the floor, with his head wedged in between the nightstand and the bed. She told detectives that she tried to help him back into bed but that he told her not to touch him, so she left him on the floor and did not call anyone, including 911 or her employer, which is against company policy. ... According to the Medical Examiner, had Taylor called 911 when she first found the victim, as required by her own company’s policy, the victim would not have died. The Medical Examiner ruled the victim’s cause of death positional asphyxia with a contributory cause of pre-existing health issues.

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Today's Encouragement: Welcome October! You are ...

10/01/24 at 03:00 AM

October is a beautiful reminder that change can be stunning and wonderful.

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Comfort home in Scottsville reopens after four-year hiatus

10/01/24 at 03:00 AM

Comfort home in Scottsville reopens after four-year hiatus NBC News 10, Rochester, NY; by Eriketa Cost; 9/27/24 A local hospice home in Scottsville re-opened, after four years of rebuilding from the inside out. You may recall how much of an effect COVID-19 had on these services. The home, Patrick Place, was unable to hold fundraisers. Dozens of volunteers stepped down out of fear for the virus, and it took time to bring them back. The emails and phone calls didn’t stop during the downtime, though, said Cissy Leblanc, secretary on the board for Patrick Place. Organizers were eager to open again, but it took hard work. Along the way, the team built a new deck and furnished the basement, adding a conference room and special area for training volunteers. These, are all projects that couldn’t have happened with someone living there, said chairman Patrick Hanley. The home opened in early September with 55 volunteers. The goal is to reach 75. ...

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BREAKING NEWS - Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements; Correction

10/01/24 at 03:00 AM

BREAKING NEWS 10/1/2024, 12:30pm - Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements; Correction Federal Register - The Daily Journal of the United States Government; Centers for Medicare & Medicaid Services  (CMS), Department of Health and Human Services (HHS); 10/1/24 This document corrects technical and typographical errors in the final rule that appeared in the August 6, 2024 Federal Register titled “Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements”.I. Background: In FR Doc. 2024-16910 of August 6, 2024 (89 FR 64202), there were a number of technical and typographical errors that are identified and corrected in this correcting document. The provisions in this correction document are effective as if they had been included in the final rule that appeared in the August 6, 2024 Federal Register . Accordingly, the corrections are effective October 1, 2024.II. Summary of Errors: ...Given these errors, we are republishing the FY 2025 Hospice Wage Index file accordingly on the CMS website at: https://www.cms.gov/​medicare/​payment/​fee-for-service-providers/​hospice/​hospice-wage-index effective October 1, 2024.

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Podcast: Melissa Aldridge on Private Equity Acquisitions of hospices

10/01/24 at 03:00 AM

Podcast: Melissa Aldridge on Private Equity Acquisitions Of HospicesHealth Affairs; 9/24/24Health Affairs' Editor-in-Chief Alan Weil interviews Melissa Aldridge of Icahn School of Medicine at Mount Sinai and James J. Peters Bronx Veterans Affairs Medical Center about her recent paper exploring the increasing trend of private equity acquisitions of hospices and how ownership structures still remain complex and opaque.

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