Literature Review

Improving Pain Self-Management Among Rural Older Adults With CancerJAMA Network; by Megan J Shen, Tammy Stokes, Sarah Yarborough, Jill Harrison; 7/24Is the adapted version of Cancer Health Empowerment for Living without Pain (CA-HELP) feasible, acceptable, and able to improve pain outcomes among older adults with cancer living in rural settings? Study results highlight a potentially low-cost, low-burden intervention designed to improve pain communication and reduce pain severity and pain misconceptions among older adults with cancer in rural settings.

Social isolation changes and long-term outcomes among older adultsJAMA Network Open; by Chen Lyu, Katherine Siu, Ian Xu, Iman Osman, Judy Zhong; 7/24Is social isolation change associated with long-term outcomes in older adults? In this cohort study using a national longitudinal health survey of 13 649 adults aged 50 years or older in the US, data revealed that increased isolation was associated with an increased risk of mortality, disability, and dementia. Decreased isolation was associated with a lower risk of mortality only among individuals who were non-isolated at baseline. These results underscore the importance of interventions targeting the prevention of increased isolation among older adults to mitigate its adverse effects on mortality, as well as physical and cognitive function decline.

Four Years And More Than 200,000 Deaths Later: Lessons Learned From The COVID-19 Pandemic In US Nursing HomesHealth Affairs; by R. Tamara Konetzka, David C. Grabowski, Vincent Mor; 7/24Nursing home residents and staff were disproportionately affected by the COVID-19 pandemic, drawing attention to long-standing challenges of poor infection control, understaffing, and substandard quality of care in many facilities. Evolving practices and policies during the pandemic often focused on these challenges, with little effect. Despite the emergence of best practices to mitigate transmission of the virus, even the highest-quality facilities experienced outbreaks, indicating a larger systemic problem, rather than a quality problem at the facility level. Here we present a narrative review and discussion of the evolution of policies and practices and their effectiveness, drawing on evidence from the United States that was published during 2020–23.

Start of the COVID-19 pandemic and palliative care unit utilization: a retrospective cohort studyJournal of Pain and Symptom Management; by Michael Bonares, Kalli Stilos, Madison Peters, Lise Huynh, Debbie Selby; 7/24Despite historically poor palliative care units (PCU)/hospice access, the COVID-19 pandemic created circumstances that may have enabled unprecedented utilization in individuals with non-cancer diagnoses in our cohort. This substantiates that so long as it is concordant with their goals, individuals with non-cancer diagnoses can have enhanced PCU/hospice utilization.

Virtual reality for pain management in hospitalized patients with cancer: A randomized controlled trialCancer; by Hunter Groninger, Diana Violanti, Mihriye Mete; 4/24Among hospitalized adult patients with moderate-severe pain related to cancer and cancer therapies, VR provided more nonpharmacologic pain relief than active control and this benefit sustained long after conclusion of the intervention.

Pennant’s home health, hospice growth ‘significantly ahead’ of prior expectationsHome Health Care News; by Audrie Martin; 8/7/24The Pennant Group Inc. (Nasdaq: PNTG) leaders highlighted the company’s significant home health growth Tuesday. They also teased continued expansion in the East Coast and elsewhere. “We are thrilled to report record-breaking second quarter results as we continue to experience momentum across all our service lines and create meaningful growth opportunities for local leaders and teams,” Pennant CEO Brent Guerisoli said during the company’s second-quarter earnings call. “Our financial performance and growth trajectory reflect the consistent efforts we have applied to every aspect of our business through our five key focus areas: leadership development, clinical excellence, employee engagement, margin and growth.” The Pennant Group is a holding company based in Eagle, Idaho, with independent operating subsidiaries that provide health care services through 117 home health and hospice agencies and 54 senior living communities across 13 states.

Local hospice and palliative care center starts virtual reality program to better patient experienceKYMA (Yuma, AZ); by Danyelle Burke North; 8/6/24The Southwestern Palliative Care and Hospice is bringing a new virtual reality experience program to its center. They added the Oculus VR device to their program to better their hospice and palliative patient experience. They say it provides a therapeutic escape and a way for patients to digitally see new environments without needing to leave their bed.

Closing the gap in value-based care: Lessons from provider-led ACO experienceHealth Affairs; by Clive Fields, Gary M. Jacobs; 8/6/24Achieving the Centers for Medicare and Medicaid Services’ (CMS’s) goal to bring every Medicare patient into a value-based care (VBC) arrangement by 2030 requires bold action. With six years left to achieve that goal (as of January 2024), only half of current Medicare beneficiaries are aligned with an accountable care organization (ACO) providing care within a VBC arrangement. This gap is large, but accelerated participation and reaching the 2030 goal remain possible. To close the gap, policy makers must apply the lessons learned from the real-world experience of models developed by the Center for Medicare and Medicaid Innovation (the Innovation Center), the Medicare Shared Savings Program (MSSP), and other CMS demonstrations. ACOs participating in the MSSP and alternative payment models developed by the Innovation Center have proven that they can deliver high-quality care, improve the patient experience, and generate savings for Medicare. The Congressional Budget Office has found that physician-led ACOs and ACOs with a larger proportion of primary care providers, as opposed to specialists or clinicians in non-primary care settings, generate greater savings.

Enhabit walks away from UnitedHealthcare after ‘9 months of unsuccessful negotiations’Home Health Care News; by Joyce Famakinwa;8/7/24Staying on course with its payer innovation strategy, Enhabit Inc. (NYSE: EHAB) has decided to walk away from certain Medicare Advantage (MA) payers – and namely UnitedHealth Group’s (NYSE: UNH) UnitedHealthcare. That decision, and the recent home health proposed payment rule, were top of mind for Enhabit leaders on Tuesday.

CVS launches $2B in cost cuts, Aetna president outModern Healthcare; by Fiona Rutherford; 8/7/24CVS Health Corp. lowered its 2024 earnings outlook for the third straight quarter and announced cost-cutting measures to save $2 billion over several years as healthcare expenses continue to soar. The company also announced the departure of Brian Kane, who took the helm as the president of the Aetna insurance unit just under a year ago. CVS Chief Executive Officer Karen Lynch and Chief Financial Officer Tom Cowhey will temporarily take over his duties during the search for a successor. CVS is slashing spending and streamlining operations as its insurance arm faces pressure from rising US medical costs. Aetna accounts for about a third of the company’s revenue, but its struggles this year are largely to blame for a downturn in earnings and slump in the stock price.

Hospice care uplifts and encourages patients' families during difficult timesWLOS (NC); 8/6/24When a loved one becomes ill and needs extra assistance, it is vital for family members and caregivers to step up to the challenge. It is also important to find support that prioritizes what is important to the patient and their kin. Four Seasons, The Care You Trust, emphasizes that they are always “here for you,” but what does that mean? Learn the answer through the words of Larry Moore, who found the resources and guidance he needed from Four Seasons as he served as the primary caregiver for his mother, Joan, while she was living with dementia... That’s the highlight of my Four Seasons story. The care that they give the patient is phenomenal, but I think people expect that. What they don’t realize is the care Four Seasons gives to the family is equally as important. Don’t pass up the opportunity to ask them for help.”

Ten-Minute VR Therapy Provides Sustained Pain Relief for Patients With CancerPhysician's Weekly; 8/7/24A new study suggests virtual reality pain relief interventions may be effective at reducing pain in hospitalized populations with cancer. Virtual reality (VR) provides pain relief in various health settings, but few studies investigate its impact on hospitalized patients with cancer. A recent study in Cancer intends to fill that gap. The researchers completed a randomized control trial in which patients received a VR pain relief intervention or a 2D alternative. While both provided pain relief, the VR intervention was more effective. The researchers also found that pain relief lasted up to 24 hours after the intervention. “Virtual reality is a relatively new, rapidly developing technology that has capabilities to influence the patient experience in innovative ways,” said Hunter Groninger, MD, in an interview. Dr. Groninger is the director of Palliative Care at MedStar Washington Hospital Center, where the study was conducted, and a professor of medicine at Georgetown University.

Scout crafts labyrinth for hospice[Scotland] The Laurinburg Exchange; by Deon Cranford III; 8/6/24Cullen Polk, a rising senior at Scotland Early College High School, recently left a lasting mark on Hospice of Scotland County by creating a beautiful labyrinth on the organization’s grounds. This remarkable project was undertaken as part of Polk’s Eagle Scout initiative, showcasing his dedication to service and his desire to make a positive impact on those in a time of need. Inspired by his brother’s Eagle Scout project in 2021 and his mother’s (Laura Adams) continued support as a community and fundraising volunteer for Hospice of Scotland County, when it came time for his own project, Polk reached out to Hospice of Scotland County volunteer coordinator Bunny Hasty for ideas.