Literature Review

Planning ahead for peace of mind: How an advance care conversation educator can help

Pressing questions about rural telehealth access and investments put innovation in dangerMcKnights Long-Term Care News, by Kimberly Marselas; 1/22/24Proven healthcare technologies can help improve patient care and boost staff confidence, but in many rural areas, one major impediment remains: lack of high-speed internet.

$15 billion win for physicians on prior authorizationAMA, by Kevin B. O'Reilly; 1/18/24Under the leadership of Administrator Chiquita Brooks-LaSure, the Centers for Medicare & Medicaid Services (CMS) has released a final rule making important reforms to prior authorization to cut patient care delays and electronically streamline the process for physicians. Together, the changes will save physician practices an estimated $15 billion over 10 years, according to the U.S. Department of Health and Human Services (HHS).

Survey shows 2024 to be a "Year of Efficiency" for Care at Home OrganizationsHomeCare News; 1/16/24To improve their bottom line and operations, care-at-home organizations plan to focus on shoring up operational processes and how they manage staffing and scheduling, according to the just-released 2024 Industry Trends Report. ... The focus on having more efficient operations was reflected in the top concerns from respondents: staffing, and addressing the changing payment dynamics and new regulations and oversight in the care at-home industry.

How history has shaped racial and ethnic health disparities: A timeline of policies and eventsKFF, with thanks to Daniel Dawes, Gilbert Gee, Michelle Tong; ongoing reference for health policy research, polling and journalismThis timeline offers a historical view of significant U.S. federal policies and events spanning the early 1800s to today that have influenced present-day health disparities. It covers policies that directly impacted health coverage and access to care, relevant events in medicine, social and economic policies and developments that influence health, and efforts to tackle inequalities. ... While not exhaustive, the timeline aims to provide context for addressing disparities, acknowledging the complex history that shapes racial and ethnic health and health care disparities that persist today.

Sustainability of our healthcare system; Day 2 notes from the 42nd annual J.P. Morgan healthcare conference LexBlog, by Eric Klein; 1/10/24Sustainability of our healthcare system was an interesting topic at Day 2 of the 42nd Annual J.P. Morgan Healthcare Conference. Paul Markovich, CEO of Blue Shield of California, expressed the concern that “[T]he status quo is an existential threat to our healthcare system.” Markovich is worried that the healthcare system is losing the public’s trust – which will make it harder to effectively fix our system – while also not delivering the quality of care and accessibility needed by our population. 

Local experts say number of people using hospices has decreased despite benefits Virginia News, by Emaryi Williams; 1/8/24According to a recent report by American Health Rankings, Virginia placed 30th nationally in deceased medicare patients who used hospice care, even though it was 17th nationally for senior health care. Local experts say they are seeing fewer opting for hospice care and are concerned about what it means for members of our community and their families who may need it.

Hospice and home health care in Estes Park: A 2024 updateEstes Park Trail Gazette, by Dawn Wilson; 1/5/24Estes Park Health Board of Directors and management made the difficult decision to eliminate in-home hospice and home health care services as part of a plan to bring the hospital into a financially secure position. Sunday, Dec. 31, 2023, marked the last day that Estes Park Health provided these services.

To affiliate or acquire: Trends in nonprofit hospice consolidationHospice News, by Jim Parker; 1/5/24Recent years have seen an uptick in consolidation activity among nonprofits in the hospice space. Increasingly, nonprofit s are pursuing acquisitions and affiliations, as well as forming regional collaboratives. To achieve these kinds of growth, hospices must consider whether they should affiliate or buy another company outright. Each approach comes with benefits and risks.

Gentle endings: Lessons learned in a hospice for those without a homeDeseretNews, by Eliza Anderson; 1/3/24 Jillian Olmsted was intrigued by a news story in 2015 about attempts to open a small residential hospice for the homeless in Salt Lake City, where she lives. The INN Between would offer a home for people who were unsheltered and dying so they could be fed and cared for, in beds and out of the cold. But she was also floored by the hue and cry of neighbors who didn’t want them around — even though they were terribly medically frail. Her dad was fighting cancer, and she had just helped care for her mom and stepfather, who died a month apart. Both “had insurance and a nice home and family to take care of them.” Why begrudge someone shelter, care and comfort in such dire circumstances? 

West Monroe’s 3 healthcare outlooks for 2024: AI, cost pressures, dealmakingMedCityNews, by Marissa Plescia; 12/29/23 In a recent report, consulting firm West Monroe laid out three trends for the healthcare industry to watch out for:

What is hospice care? 6 myths about this end-of-life optionNPRDecember 28, 2023... Former President Jimmy Carter, the longest-living former president in American history at age 99, joined those numbers in February when his family announced he was entering hospice. ... Many assumed the decision meant that Carter wouldn’t be alive for much longer. But contrary to popular belief, hospice care isn’t necessarily only for people who have just a few days to live, nor does it mean giving up care entirely. ... Here’s the truth about some of the myths about hospice care and how it works.

Hospice volunteer rule to return in ‘24 Requirement to resume in U.S., stateArkansas Democrat-Gazette (Little Rock, AR)December 24, 2023On Jan. 1, 2024, the U.S. Centers for Medicare and Medicaid Services will reinstate rules that, among other things, require volunteers to provide at least 5% of care hours at hospices across the country, including in Arkansas. Those rules were lifted during the first years of the covid pandemic ...