Literature Review



Medicaid increase, program changes detailed in CMS Budget Proposal

06/05/25 at 03:00 AM

Medicaid increase, program changes detailed in CMS Budget Proposal InsideHealthPolicy; by Dorothy Mills-Gregg; 5/30/25 Medicaid would see a nearly $57.5 billion increase under the Trump administration’s proposed 2026 budget, though federal Medicaid matching funds for state administrative expenses would be reduced by $1.2 billion compared to this year’s estimate, according to the CMS budget justification document for fiscal 2026 released Friday (May 30).

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40 years after Karen Ann Quinlan’s death, NJ right-to-die case still stirs strong emotions

06/05/25 at 03:00 AM

40 years after Karen Ann Quinlan’s death, NJ right-to-die case still stirs strong emotions New Jersy Herald; by William Westhoven; 6/4/25 ... Today, Americans are free to declare those rights [about dying] in the form of advance directives such as a living will. For that, we have one New Jersey family to thank: the parents and siblings of Karen Ann Quinlan, whose faith carried them through the arduous process of turning their tragedy into a legal victory that changed the way Americans approach the end of life. They were aided by a collection of attorneys and judges on both sides of the life-or-death case who chose to work "as adversaries but not enemies." Karen, then 21, fell into an irreversible coma after attending a party in Sussex County on April 15, 1975. She died 40 years ago, on June 11, 1985, in a Morris County nursing home.Editor's note: I remember this. Do you? In the midst of today's MAiD legislation, lobbying, and often highly inflammatory stances, I'm struck by this article's description, "They were aided by a collection of attorneys and judges on both sides of the life-or-death case who chose to work "as adversaries but not enemies." Yes, strong emotions and beliefs still drive both sides. Yes, we still choose how to work together. 

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Home health provider Intrepid USA files for bankruptcy

06/05/25 at 03:00 AM

Home health provider Intrepid USA files for bankruptcy Home Health Care News; by Joyce Famakinwa; 6/3/25Home health and hospice provider Intrepid USA has recently filed for bankruptcy. The company filed a petition for Chapter 7 bankruptcy in the Southern District Court of Texas in late May, according to court documents. Filing for Chapter 7 bankruptcy results in a straight liquidation, according to Adam Stein-Sapir, a bankruptcy expert at Pioneer Funding Group LLC. ... In 2024, New Day Healthcare acquired Intrepid USA’s hospice operations in Missouri and Texas. Prior to these sales, Dallas-based Intrepid USA operated more than 60 home health and hospice locations across 17 states.

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AMA advocacy: Graduate Medical Education and student loans

06/05/25 at 03:00 AM

AMA advocacy: Graduate Medical Education and student loans American Medical Association; 6/3/25 The American Medical Association is committed to supporting medical students and residents as they attend school and enter their training years. As part of this the AMA believes that the cost of a medical education should never pose a barrier to a career in medicine and has long-standing concerns about the high and increasing costs of medical education and supports efforts to ensure that individuals are offered fair loan terms and are provided with the ability to make meaningful progress towards paying off their student loans. In alignment with this, the AMA collaborates with our partners in the Federation of Medicine, and engages in consistent and ongoing advocacy work in the public- and private-, to ease the financial burden medical students, residents and physicians by: ...

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Nevada lawmakers pass slate of healthcare bills aimed at fraud, access and transparency

06/05/25 at 02:00 AM

Nevada lawmakers pass slate of healthcare bills aimed at fraud, access and transparency ABC 13 KTNV, Las Vegas, NV; by Abel Garcia; 6/3/25 Nevada lawmakers have passed a series of healthcare bills that could impact they way you and your family receive care in Southern Nevada. ... 

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[United Kingdom] Group treks Great Wall of China to raise £85k

06/04/25 at 03:15 AM

[United Kingdom] Group treks Great Wall of China to raise £85k BBC News; by Emma Petrie; 5/31/25 A group of people who trekked along the Great Wall of China have raised more than £85,000 in support of a hospice. The team took on the challenge to fundraise for Dove House Hospice, which is a charity that provides respite and end-of-life care for people in Hull and East Yorkshire. The hospice warned they were facing a funding shortfall in April due to rising costs. ... Twenty people signed up for the site's latest fundraising challenge and set off for China 17 May, walking a 31-mile (50km) route along the Great Wall. Upon her return, Ms. [Ruth] Scott said: "It's not an easy walk, incredibly steep in places, ... The views are just unbelievable. You can't comprehend."

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Medical robots to the rescue: New technologies to help our health

06/04/25 at 03:15 AM

Medical robots to the rescue: New technologies to help our healthNIH News in Health; 6/2/25What do you think of when you hear the word robot? Is it a human-like assistant with a friendly face, or a large and menacing foe? Generally, a robot is a machine that that’s been built to perform specific tasks. [This article highlights:]

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Today's Encouragement: The highest reward for a person's toil is not ..., but is ...

06/04/25 at 03:00 AM

The highest reward for a person's toil is not what they get for it, but what they become by it. ~ John Ruskin

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The best leaders are spacious leaders. Here’s what that means

06/04/25 at 03:00 AM

The best leaders are spacious leaders. Here’s what that meansFastCompany; by Tracy Brower; 6/2/25A helpful concept is spacious leadership—a management approach in which you create space for others to participate, make choices, and be their best. With spacious leadership, you also ensure space for yourself to enhance your own effectiveness and satisfaction on the job. [Article discusses:]

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Confronting global inequities in palliative care

06/04/25 at 03:00 AM

Confronting global inequities in palliative care BMJ Global Health; by Anna Peeler, Oladayo Ayobami Afolabi, Katherine E Sleeman, Maha El Akoum, Nahla Gafer, Asmus Hammerich, Richard Harding; 5/15/25

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7 Brutal truths about leadership no one tells you at 29

06/04/25 at 03:00 AM

7 Brutal truths about leadership no one tells you at 29Forbes; by Nirmal Chhabria; 5/29/25At 29, I was handed my first leadership role. Six months later, I was drowning—my inbox was overflowing with problems, top performers were quitting and morale was plummeting. "What am I doing wrong?" I asked my mentor. "You're trying to be the hero instead of creating heroes," she replied. That conversation began my real leadership education—years of failures that revealed truths I wish I'd known from day one. Here are seven leadership insights that only experience taught me:

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The persons behind our patients - Individualized assessment tools for personalized care

06/04/25 at 03:00 AM

The persons behind our patients - Individualized assessment tools for personalized careJAMA Internal Medicine; by Ruchi Bhatia; 6/2/25In clinical medicine, we rely heavily on bulleted templates to conduct and document care. These templates help capture the complexity of the medical problems we treat... However, the checklists we use often fail to provide a holistic narrative of the patient’s story... Reviewing the details of these checklists during the visit may aid decision-making but limits face-to-face interactions and can distract from understanding the unique person in the patient... Relying exclusively on checklists can unintentionally prevent patients from sharing their personhood and will not elicit complex concerns, such as fears of getting older, dying, or being written off.Publisher's note: Several recent stories we've covered extol the benefits of AI in healthcare; this story articulates some of the risks.

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CMS’s Hospice Star Rating System limited by missing data

06/04/25 at 03:00 AM

CMS’s Hospice Star Rating System limited by missing data Health Affairs; by Amanda C. Chen and David C. Grabowski; 6/3/25 Two-thirds of US hospices were not given a star rating when the Centers for Medicare and Medicaid Services (CMS) introduced its hospice star rating system in 2022. Since then, the share of hospices without a star rating has steadily increased, including through the most recent reporting period of 2024. This suggests that the CMS hospice star rating is having limited impact. We provide recommendations for CMS and other policy makers to improve the value for hospice patients of publicly reported star ratings.

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2 West Covina women arrested for alleged $4.8 million hospice care fraud

06/04/25 at 03:00 AM

2 West Covina women arrested for alleged $4.8 million hospice care fraud CBS News KCAL, Los Angeles, CA; by Julie Sharp; 6/3/25 The U.S. Department of Justice announced that two West Covina women were arrested Tuesday for an alleged scheme to defraud Medicare of $4.8 million with false hospice care claims. One of the women who was arrested is the owner and operator of two West Covina hospices, Golden Meadows Hospice Inc., and D'Alexandria Hospice Inc., which billed Medicare for hospice services for patients who were allegedly not terminally ill.  Between Sept. 2018 and Oct. 2022, owner and operator Normita Sierra, 71, and her alleged accomplice, Rowena Elegado, 55, collected more than $3.8 million from Medicare on false claims, the DOJ said.

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Death behind bars: Prisons routinely ignore guidelines on dying inmates’ end-of-life choices

06/04/25 at 03:00 AM

Death behind bars: Prisons routinely ignore guidelines on dying inmates’ end-of-life choicesKFF Health News / Times Daily; by Renuka Rayasam; 5/31/25Brian Rigsby was lying with his right wrist shackled to a hospital bed in Montgomery, Alabama, when he learned he didn’t have long to live. It was September 2023, and Rigsby, 46, had been brought to Jackson Hospital from an Alabama state prison 10 days earlier after complaining of pain and swelling in his abdomen. Doctors found that untreated hepatitis C had caused irreversible damage to Rigsby’s liver, according to his medical records. Rigsby decided to stop efforts to treat his illness and to decline lifesaving care, a decision he made with his parents. And Rigsby’s mother, Pamela Moser, tried to get her son released to hospice care through Alabama’s medical furlough policy, so that their family could manage his end-of-life care as they saw fit. But there wasn’t enough time for the furlough request to be considered...

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Fortune 500’s top 25 healthcare companies

06/04/25 at 03:00 AM

Fortune 500’s top 25 healthcare companiesBecker's Hospital Review; by Molly Gamble; 6/2/25The 71st Fortune 500 ranks America’s largest companies by 2024 fiscal year revenue. [Results include:]

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The Roaring ‘20s: Hospice of the Valley hosts senior prom

06/04/25 at 03:00 AM

The Roaring ‘20s: Hospice of the Valley hosts senior prom Arcadia News, Phoenix, AZ; by Mallory Gleich; 6/1/25 At the Dementia Care and Education Campus in Arcadia, the spirit of the Roaring ’20s came to life as Hospice of the Valleyhosted its second annual senior prom. With pearls, feathers, vintage flair, and a whole lot of heart, this unforgettable evening was more than just a dance, it was a joyful celebration of life, connection, and music. Around 80 guests – a mix of Adult Day Club members, assisted living residents, spouses, family members, staff, and volunteers – attended the soiree. From the start, the event buzzed with anticipation and excitement. For many, this was a chance to relive a moment they had missed, or rewrite one that had fallen short in their youth. 

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Hospices facing a US caregiving ‘crisis’

06/04/25 at 03:00 AM

Hospices facing a US caregiving ‘crisis’ Hospice News; by Holly Vossel; 6/2/25 Family caregivers in the United States are being challenged by a swelling aging population inneed of greater support and stronger policy infrastructures. Much room for improvement exists at both state and federal levels when it comes to recognizing the important roles that family caregivers play, according to Steven Lee, co-founder and CEO of ianacare, a Boston-based patient and caregiver resource company. More innovative care models and disease-specific reimbursement options have widened pathways for hospice providers to improve family caregiver support, Lee said in a recent Hospice News Elevate podcast. But these fall short of addressing the diverse scope of practical, emotional and financial needs, he stated. Editor's note: This article has an excellent map of US states with caregiver categories for "Well-Supported," "Safe for Now," "High Risk," and "Critical" (courtesy of Otsuka America Pharmaceutical). Additionally, our sponsor Hospice Analytics provides the National Hospice Locator, for caregivers/families to find hospices that serve in each US county, and sorted by their quality scores. And, our sponsor Composing Life equips hospice organizations with caregiver/family video libraries that span the continuum of serious illness, hospice, and grief care. 

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10 Signs death is near for dementia patients

06/04/25 at 03:00 AM

10 Signs death is near for dementia patients The Healthy; by Dr. Patricia Varacollo, DO; 6/2/25 For families and caregivers, recognizing the final stages of dementia can be difficult, but understanding the signs can help ensure comfort and dignity in a loved one's last days. Dr. Koncilja highlights these key indicators that may suggest the end of life is near:

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How do you comfort a dying parent?

06/04/25 at 02:00 AM

How do you comfort a dying parent? U.S. News & World Report - WTOP News; 6/1/25 Caring for a parent who is dying can be emotionally taxing. ... Here are ten tips for how to conduct a caring conversation with someone who is dying — and how to know when to sit in silence too.

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Groundbreaking ceremony for new hospice house in Derby

06/03/25 at 03:30 AM

Groundbreaking ceremony for new hospice house in Derby CBS WCAX-3, Burlington/Derby, VT; by Hailey Morgan; 5/31/25 ... Marion Dehnke lost her husband Clint Stevens to cancer back in 2013. She says during that time, she was his caregiver, and he had to stay in a nursing home in a tiny room, with one other person. She said it made things very disruptive, and she didn’t get to spend the time she wanted with him, and she doesn’t want that for someone else. ... Community leaders, and members with the Newport Church of God invested in a solution called the Living Waters Hospice House. It is a two bedroom home dedicated to those in need in their final days. The project is worth a million dollars, and is funded entirely by donations. ... Construction for the home, started this past week, the groundbreaking ceremony was held on the church lawn Saturday.

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Today's Encouragement: Is the life I'm living ...

06/03/25 at 03:00 AM

Is the life I’m living the life that wants to live in me? ~ Parker J. Palmer

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17 "Spooky" things that happened right before terminally-ill patients passed away, according to nurses who saw it first-hand

06/03/25 at 03:00 AM

17 "Spooky" things that happened right before terminally-ill patients passed away, according to nurses who saw it first-hand BuzzFeed Staff; by Raven Ishak; 5/31/25 "At the beginning of my shift, my patient kept pointing to a corner of the room and said to me, 'Do you see them?" ... When medical professionals work closely with patients who may pass soon, a lot of "supernatural" things may occur. So we thought to ask the BuzzFeed Community, "Nurses with dying patients, share with us the most unexplainable things you've ever witnessed." Here's what they said below: ...

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Ethics talk: Are private equity investments really different from other ownership structures in health care?

06/03/25 at 03:00 AM

Ethics talk: Are private equity investments really different from other ownership structures in health care?AMA Journal of Ethics, Podcast May 2025; by Robert I. Field, PhD, JD, MPH; 5/30/25Dr. Robert I. Field joins Ethics Talk to discuss whether and to what extent private equity firms’ increasing presence in health care deserves our scrutiny and what policy makers, clinicians, and patients should know about responding to private equity ownership stakes in the organizations where they work and where they go for health services. 

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Empathetic AI policy example: A framework for the human impact on AI

06/03/25 at 03:00 AM

Empathetic AI policy example: A framework for the human impact on AI Solutions Review; by Tim King; 5/30/25 ... Empathetic AI is our organizational pledge to place people at the center of our AI strategy. It means prioritizing the dignity of work, the stability of our workforce, and the fair treatment of all individuals impacted by automated systems. It means actively supporting those whose roles may be transformed or displaced and investing in their future through retraining, redeployment, and transparent communication. Our core principles are as follows:

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