Literature Review

Destigmatizing conversations around the end of life ABC News WCVB 5, Boston; produced by Lisa Thalhamer; 3/28/24 Stanley Sagov is a jazz musician and physician who is managing a diagnosis of malignant melanoma. He shares his story with medical students and doctors, offering counsel on how to discuss end-of-life matters. 

Blue Shield's Palliative Care Program wins national recognition for improving lives Blue Shield California; 3/28/24 During the first quarter of this year, the Journal of Palliative Medicine published results of a study entitled “Cost and Utilization Implications of a Health Plan’s Home-Based Palliative Care Program” from leaders at Blue Shield and researchers from West Health Research Institute that garnered attention from industry publications. ...  Major findings from the study were that home-based palliative care delivered to people not yet eligible for hospice reduced their hospital and emergency room use, showed trends towards an increased length of life, and extended the continuum of care for people with serious illness and their caregivers.

Elevating quality, outcomes, and patient experience through Value-Based Care: CMS Innovation Center’s Quality PathwayNEJM Catalyst; by Susannah M. Bernheim, MD, MHS; Noemi Rudolph, MPH; Jacob K. Quinton, MD, MPH; Julia Driessen, PhD; Purva Rawal, PhD; and Elizabeth Fowler, PhD, JD; 4/3/24The U.S. Center for Medicare and Medicaid Innovation is launching a new Quality Pathway to elevate patient-centered quality goals in the design and evaluation of alternative payment models. The Quality Pathway will align model design around quality goals; elevate outcomes and experience measures, particularly patient-reported outcomes; and ensure that evaluations have the ability to assess the impact of models on primary quality goals. These determinations will help the Innovation Center make critical decisions about which models to scale or expand in the pursuit of improving the quality of care for people with Medicare and Medicaid.

Survey shines light on health care discrimination against LGBTQ+ people  KFF Health News; 4/3/24Members of the LGBTQ+ community are twice as likely to experience discrimination in health care, a survey found. ... The survey, conducted by KFF, noted that members of the LGBTQ community have historically faced disparities while receiving health care, including challenges to accessing mental and physical health care. Editor's Note: This article includes specific examples from Utah, Colorado, and New Hampshire.

Meet the women who give end-of-life care to Utah’s homelessGood Things Utah, by Nicea DeGering; 4/2/24A Utah non-profit’s mission is to provide medical help and end-of-life care to those in our community experiencing homelessness. The Inn Between has been providing unique services in Salt Lake City for eight years.  ... [The] mission of The Inn Between is to end the tragedy of vulnerable people dying on the streets of our community by providing medical respite and end-of-life care to those experiencing homelessness.The group provides a home environment that enables adults experiencing homelessness to gain access to professional hospice care from State-licensed hospice agencies; undergo life-saving medical treatment; stabilize in preparation for surgery; or recuperate from serious illness, injury, or surgery. Editor's Note: Read more to meet Jillian Olmsted, Executive Director and Kellie Mierement, Community Engagement Manager.

Man with chainsaw assaults Vermont hospital workers, destroys property Becker's Hospital Review, by Madeline Ashley; 4/1/24 A man was taken into custody by Vermont State Police after assaulting staff and destroying property with a chainsaw at St. Johnsbury-based Northeastern Vermont Regional Hospital. State troopers apprehended Tyler Roy, 27, on March 25 in the hospital parking lot "actively assaulting staff," according to a March 31 Vermont State Police news release. Mr. Roy was taken into custody and is cited to appear in Caledonia County Superior Court on April 6.

CMS finalizes 2025 Medicare Advantage rates Becker's Payer Issues, by Rylee Wilson; 4/1/24 CMS finalized a slight decrease in Medicare Advantage benchmark payments for 2025. The agency published its final rate notice for 2025 April 1. The final rule was largely similar to CMS' proposed payment rates issued in January. The agency will cut benchmark payments by 0.16% from 2024 to 2025. CMS estimated plans will see 3.7% higher revenue overall in 2025. MA risk score trend of 3.86% — the average increase in risk adjustment payments year over year — will offset risk model revisions that will lead to a 2.45% decline in revenue and a projected decline in star rating bonuses, according to the agency. 

Some prepaid funeral expenses to southern Colorado funeral home being investigated CBS TV 11 News, by Melissa Henry; 3/29/24A man and his wife wonder whether or not they will ever get more than $7,000 dollars back for prepaid funeral expenses after paying Return to Nature Funeral Home. Jon and Carie Hallford are at the center of an investigation in which they are accused of abuse of a corpse, money laundering, theft, and forgery after officials say 189 bodies were found improperly stored at a building tied to the couple’s business in Penrose.

After Empath Health, Trustbridge complete affiliation, ‘Home Health is high on priority list’ Home Health Care News, by Andrew Donlan; 4/1/24 Last September, the post-acute providers Empath Health and Trustbridge signed a memorandum of understanding to begin an affiliation process. On Monday, that affiliation process was completed, forming the largest nonprofit post-acute provider organization in the state of Florida. Together, the organization will care for 5,000 patients daily and employ more than 5,000 staff members and 3,000 volunteers.

FTC continues to challenge $320M Novant, CHS deal Becker's Hospital Review; by Naomi Diaz; 3/29/24The Federal Trade Commission filed court documents on March 25 seeking a preliminary injunction to bar Winston-Salem, NC-based Novant Health from its $320 million acquisition of two North Carolina hospitals from Franklin, TN-based Community Health Systems. According to court documents filed in the U.S. District Court for the Western District of North Carolina, the FTC alleged that Novant Health's proposed acquisition ... would "irreversibly consolidate the market for hospital services in the Eastern Lake Norman Area in the northern suburbs of Charlotte."

How to look after your mental health while packing up Mum or Dad’s home The Conversation, 3/31/24 So Mum or Dad has died, or moved to aged care, and now you’ve got to pack up their house. It’s a huge job and you’re dreading it. It’s normal to feel grief, loss, guilt, exhaustion or even resentment at being left with this job. So how can you look after your mental health while tackling the task? 

Ethical conflicts: Making care decisions when the right choice isn't clear Medical Economics, by Jeff Bendix; 3/29/24 What should a physician do when their ethical training conflicts with the circumstances or needs of a particular situation or patient? ... Ethical battlegrounds are growing. [Dr. Melissa] Lucarelli’s experience epitomizes, in a small way, a problem with which doctors have grappled for as long as medicine has existed as a profession: what to do when their ethical training conflicts with the circumstances or needs of a particular situation or patient. That question has taken on new urgency in recent years due to several converging trends. 

Should we be using palliative care for scleroderma? The Medical Republic, by Karina Bray; 4/2/24Almost three-quarters of systemic sclerosis patients could benefit from specialist palliative care, according to Australian research. The first-of-a-kind study, published in Arthritis Care & Research, set out to examine and quantify the need for palliative care to address high symptom burden as an integrated part of systemic sclerosis management. ... “Almost 75% of SSc patients may benefit from specialist palliative care input to manage specific severe symptoms, and the overlapping nature of such symptoms highlights the complex symptom management needs of SSc patients,” the authors wrote.