Literature Review

Older adults spending excess time in ED, putting hospitals at risk of failing to meet new guideline, analysis finds McKnights Long-Term Care News; by Donna Shryer; 7/1/25 A new national analysis of hospital data shows that older adults in the United States increasingly are spending more time in emergency departments (EDs) than federal guidelines recommend — delays that can be harmful to aging patients. The findings come as hospitals prepare to comply with new Medicare rules aimed at improving emergency care for older adults. ... Among patients who were admitted to the hospital, more than one-third (36%) waited more than three hours after the decision was made to admit them, a delay known as boarding. These benchmarks — eight hours in the ED and three hours to admission — are part of the new Age-Friendly Hospital Measure introduced by the Centers for Medicare & Medicaid Services (CMS). As of January 2025, hospitals are required to confirm they have procedures in place to meet these time goals.

Sharp HospiceCare opens new $6.6M hospice home in PowayThe San Diego Union-Tribune, San Diego, CA; by Julie Gallant; 7/1/25 Sharp HospiceCare will soon begin accepting up to six patients at the new Moore MountainView Hospice Home in Poway. The not-for-profit health care provider held a grand opening for the $6.6 million hospice facility at 16752 Valle Verde Road near Espola Road on June 23. Sharp HospiceCare expects to start accepting patients at the home later this summer. Suzi K. Johnson, vice president of hospice and palliative care at Sharp HospiceCare, thanked a crowd of more than 200 local leaders, health care professionals and supporters for "believing in the mission and purpose of Sharp HospiceCare." "When you take a moment to walk through the home, and especially through the gardens, you'll see that every detail was created to offer patients and families a sense of refuge," Johnson said. 

Solvay Hospice House to temporarily pause care in Duluth during impending nurses’ strike Northern News Now, Duluth, MN; by T Kaldahl; 7/1/25  The Solvay Hospice House in Duluth will temporarily pause care and transport existing patients when union nurses walk off the job next week. The hospice house relies on Essentia Health staff to help them provide care for their patients, according to Solvay leaders. Because of the MNA’s plans to begin an open-ended strike at 7 a.m. on Tuesday, July 8, amid ongoing contract negotiations, the hospice house will be without nursing staff. 

United Palliative & Hospice Care accused of $87M hospice scam Hospice News; by Jim Parker; 7/2/25 Three women associated with Houston-based United Hospice & Palliative Care (UPHC) have been charged with Medicaid and Medicare fraud after allegedly bilking more than $87 million in federal health care funds. The trio includes UPHC owner Dera Ogudo, an UPHC employee Victoria Martinez and a psychiatric hospital employee, Evelyn Shaw, ABC-13 Houston reported. The prosecutor’s indictment also includes an unnamed physician who allegedly received kickbacks for referrals to UPHC. “Ogudo and her co-conspirators preyed on the vulnerable residents of those group homes by enrolling them in hospice services with UPHC when they were not terminally ill,” the indictment indicated.

[United Kingdom] Grandson to run 120km over 24 hours for hospice BBC News, Bristol, UK; by Clara Bullock; 6/28/25 A 31-year-old man is training to run 120km (75 miles) in 24 hours, in memory of his grandmother and to raise awareness of palliative care. Mary Lerway died in October 2023 and now Josh Galea, her grandson who lives in Bristol, is running the equivalent of almost three marathons to support St Peter's Hospice. Mr Galea, who became Ms Lerway's informal carer when her health declined, said: "Unfortunately, the end of my Nan's life was very difficult, not only for her, but also for the wider family who had to care for her. ... Ms Lerway was first seen by nurses from St Peter's Hospice 48 hours before she died. Mr Galea said that within an hour of them arriving the whole situation improved and the family could "breathe a sigh of relief"."It put us at ease knowing that she was being looked after, and it allowed us to say goodbye to her peacefully," he said.

Each one of us has lived through some devastation, some loneliness, some weather superstorm or spiritual superstorm, when we look at each other we must say, I understand. I understand how you feel because I have been there myself. We must support each other and empathize with each other because each of us is more alike than we are unalike. ~ Maya Angelou

Nearly 50 charged in Southern District of Texas as part of national health care fraud takedown United States Attorney's Office - Southern District of Texas, Houston, TX; 6/30/25 A total of 22 cases are being announced as part of local efforts targeting health care fraud and include various schemes alleging unlawful distribution of controlled substances, some of which were diverted onto the black market, hospice fraud, kickbacks and other Medicare/Medicaid fraud schemes involving medically unnecessary genetic tests, durable medical equipment and more.  The charges filed in Southern District of Texas (SDTX) federal court are part of the Department of Justice’s 2025 national health care fraud takedown. ... One of the largest cases include three individuals for their alleged roles in a $110 million hospice fraud and kickback scheme. The charges allege Dera Ogudo, 39, and Victoria Martinez, 35, both of Richmond, operated hospice company United Palliative & Hospice Company (UPHC) that misled vulnerable elderly adults about what services were being billed to their Medicare and Medicaid plans.

The role of an inpatient hospice and palliative clinical pharmacist in the interdisciplinary team Texas Medical Center Documents, published by the American Journal of Hospice and Palliative Medicine; by Jetavia Jones Moody, Ivy O. Poon, and Ursula K. Braun; 6/30/25 Palliative care is a specialized health care service for individuals with serious illness at any stage and can be provided in any setting. Current national consensus developed by palliative care experts recommends the inclusion of pharmacists in an interdisciplinary team (IDT) to provide quality palliative care. However, national registry data report that less than 10% of inpatient palliative teams in the U.S. have a clinical pharmacist. Clinical pharmacists have an impactful role in palliative patients' quality of life by optimizing symptom management, deprescribing, and providing education to the palliative care team as well as patients and their families. 

The greatest financial threat to hospitals, per revenue cycle leaders  Becker's Hospital Review; by Andrew Cass; 7/1/25Nearly half of hospital revenue cycle leaders view payer denials as the single greatest threat to their organization’s financial performance, according to a report from RCM company Knowtion Health, featuring joint research with Healthcare Financial Management Association. The report is based on a nationwide survey of 147 revenue cycle leaders, according to a June 26 Knowtion news release. 

CMS to test prior authorization model in traditional Medicare MedPageToday; by Joyce Frieden; 6/30/25 The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some politicians and experts are concerned that it could result in more delays in care. Under the model, known as the Wasteful and Inappropriate Service Reduction (WISeR) Model, "CMS will partner with companies specializing in enhanced technologies to test ways to provide an improved and expedited prior authorization process" under traditional Medicare, the agency said Friday [6/27] in a press release ...

Provider payment incentives: Evidence from the U.S. hospice industry ScienceDirect - Journal of Public Public Economics; by Norma B. Coe and David A. Rosenkranz; online ahead of print for August 2025 (retrieved from the internet 7/1/25) Highlights

Trump administration to end 988 suicide prevention specialized service for LGBTQ+ youth in JulyCNN; by Jacqueline Howard; 6/18/25The 988 Suicide & Crisis Lifeline’s specialized services for LGBTQ+ youth will no longer be in operation starting July 17, according to a statement from the US Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA). ... According to the latest data from SAMHSA, more than 14.5 million people have called, texted or sent chats to the 988 Lifeline and have been transferred to a crisis contact center since July 2022. Nearly 1.3 million of those were routed to the LGBTQ+ specialized service.Editor's Note: This 988 LGBTQ+ specialized option was piloted in September 2020, expanded on March 6, 2025, and rolled out fully nationwide in July 2023. This data translates to approximately 1,250 LGBTQ calls per day; 52 calls per hour; 1 call per minute. Who--in your world of family and friends--might this ultimately affect? Research, data, and personal stories (sure to be in each of our circles of family and friends) tell us why this matters. A resource for you to use is The Handbook of LGBTQIA-inclusive Hospice and Palliative Care, 2nd edition by Kimberly D. Acquaviva. This handbook is the first place winner, 2024 American Journal of Nursing Book of the Year Award in Palliative Care and Hospice.

[United Kingdom] King's College London: Half of UK adults worried about painful death King's College London; 6/24/25 Almost half (47%) of UK adults are worried that they or their loved ones will have a painful or undignified death, according to a survey commissioned by King’s College London. The survey conducted by Focaldata explores public attitudes to death and dying and finds that almost half (44%) of respondents also feel worried about the quality of palliative and end-of-life care in the UK. Previous research indicates that up to 90% of people in the UK will require palliative care before they die. ... 40% of respondents said they did not know how to access palliative care in their area, and almost one third said they did not know enough about the healthcare system to find the support that a dying person needs.