Literature Review

Scientists reveal that nearly all older Americans follow one of nine trajectories in their last three years of life SciTechDaily, by Rutgers University; 3/2/24A Rutgers Health analysis of millions of Medicare records has laid the groundwork for improving end-of-life care by demonstrating that nearly all older Americans follow one of nine trajectories in their last three years of life. “Identifying which paths people actually take is a necessary precursor to identifying which factors send different people down different paths and designing interventions that send more people down whatever path is right for them,” said Olga Jarrín, the Hunterdon Professor of Nursing Research at Rutgers and corresponding author of the study published in BMC Geriatrics.

The framework on palliative care in Canada - five years later: a report on the state of palliative care in Canada.Government of Canada; 3/5/24[From the "Minister's Message," The Honorable Mark Holland, PC, MP] As Minister of Health, I am pleased to present Health Canada’s 2023 Report on the State of Palliative Care in Canada. Since the release of the Framework on Palliative Care in Canada in 2018, there have been collective efforts to advance palliative care awareness, access to training, supports for caregivers and providers, and to stimulate research and improve data collection on palliative care. And I am especially encouraged to report that, since 2018, we have moved closer to our collective vision for palliative care in Canada. This progress is the result of collective and collaborative efforts by governments, organizations and individuals over the last five years.Editor's Note: What can we learn from our Canadian neighbors from their new five-year report "On the state of palliative care in Canada"? In our daily gleaning of articles for this newsletter, numerous articles with similar topics, ethical challenges, and core purposes appear from Canada. 

Hackers behind Change Healthcare breach get $22M  Becker's Health IT, by Laura Dyrda; 3/5/24The cybercriminal organization responsible for hacking UnitedHealth Group's Change Healthcare has received a multimillion dollar payment in bitcoins, according to Reuters.UnitedHealth Group said Change was hit by BlackCat ransomware group Feb. 21, forcing its systems offline. The claims processing and revenue cycle management platform is still working to restore functionality, and asked health systems to use alternative methods for claims processing while its systems are down. BlackCat claimed it stole 6 terabytes of data from Change, including medical records and Social Security numbers. 

InnovAge launches first PACE Center in Florida providing comprehensive healthcare program for seniors to promote independence MarketScreener, Globe Newswire; 3/4/24InnovAge Holding Corp. (“InnovAge”) (Nasdaq: INNV), the industry leader in providing comprehensive healthcare programs to dual-eligible seniors through the Program of All-inclusive Care for the Elderly (PACE) launched a new center in Tampa, its first in the state of Florida. This PACE center has the capacity to serve approximately 1,300 participants.

The current state of community-based palliative careHospice News, by Jim Parker; 3/4/24“Palliative care” is becoming a buzz word in health care, even if many people don’t understand the loosely defined term. However, wide variation exists in how different providers deliver these services in the absence of a standardized, national definition or a more concrete regulatory structure that includes quality measures, Logan Hoover, vice president of policy and public relations for the National Hospice and Palliative Care Organization (NHPCO), said at the Hospice News Palliative Care Conference in Tampa, Florida.

Creating comfort through communication: Strategies for supporting mental wellbeing in palliative careWorldHealth.net; 3/4/24... To provide comprehensive and compassionate care, this article explores the various strategies for communicating and supporting mental well-being in palliative care. 

Congress floats Medicare physician pay bump: 4 notes Becker's Hospital CFO Report, by Mackenzie Bean; 3/4/24 Physicians are set to receive a 1.7% increase in Medicare pay effective March 9 as part of a $460 billion spending package congressional leaders released this weekend. Four things to know: ... [click on the title's link for more]

Change Healthcare outage: AHA slams UnitedHealth funding program Modern Healthcare - Cybersecurity, by Lauren Berryman; 3/4/2024The American Hospital Association slammed UnitedHealth Group's offer of financial assistance for some healthcare providers in the wake of the cyberattack on Change Healthcare and called on Congress for assistance. AHA President and CEO Richard Pollack said Change Healthcare parent company UnitedHealth Group's temporary loan program misses the mark in a letter sent Monday to UnitedHealth Group President and Chief Operating Officer Dirk McMahon. Pollack criticized the initiative for what he described as its limited eligibility criteria and unfair contract terms and conditions.

Obstacles and opportunities for palliative care in the ICU Palliative Care News, by Rachel Edwards; 3/1/24A growing body of research touts the benefits of palliative care for patients, families, and even providers. However, when evaluated through randomized clinical trials, the results tend to lean toward mediocre. Palliative Care News spoke with experts in the field to unpack the reasons behind those results and identify the obstacles that are getting in the way of a more effective approach.

It was one of those March days when the sun shines hot and the wind blows cold: when it is summer in the light, and winter in the shade. - Charles Dickens, Great Expectations

Pharmacy associations join forces to advocate for pharmacists during change healthcare outageNewswire Press Release; 3/3/24 Association executives from the American Pharmacists Association (APhA), the National Community Pharmacists Association (NCPA), the National Alliance of State Pharmacy Associations (NASPA), and the American Society of Consultant Pharmacists (ASCP) released an open letter to pharmacy benefit manager (PBM) executives and other insurance payers whose systems may have been impacted by the Change Healthcare outage. Pharmacists and pharmacies are asking for assurances that claims fulfilled during this outage will be paid, and paid in a timely manner, considering the challenges faced by pharmacies and pharmacists with predicting co-payments and determining eligibility and coverage. 

Medicare’s new Dementia GUIDE Model: How can physicians, hospices, and home health agencies participate? Morgan Lewis Blog Post; 3/1/24If you have had a loved one suffer from dementia, you know the emotional, physical, and financial toll of this terrible disease. With advancements in dementia treatment, however, there is renewed hope on addressing this disease and increasing emphasis on fostering innovative care models. A central pillar of this effort is the Guiding an Improved Dementia Experience (GUIDE) model, announced by the US Department of Health and Human Service’s Centers for Medicare & Medicaid Services (CMS) in July 2023. This initiative—a new voluntary, nationwide alternative payment model—is designed to support Medicare beneficiaries with dementia, as well as their caregivers.