Literature Review

AGG, New Day’s Bill Dombi: Hospices’ ‘vibrant evolutionary path’ spurs legal growing pains  Hospice News; by Holly Vossel; 3/26/25 Today’s hospice landscape is reaching a pivotal point of evolutionary growth that has come with increased oversight as regulators seek to curb fraudulent activity in the space, according to Bill Dombi, senior counsel for the law firm Arnall Golden Gregory (AGG). ... He previously served as president of the National Association for Home Care & Hospice (NAHC) for 38 years prior to its affiliation with the National Hospice and Palliative Care Organization (NHPCO) in 2023 and was heavily involved in the establishment of the Medicare Hospice Benefit. ... [Dombi:] "... Hospice has been a very vibrant part of the health care world for quite a while now, but I think its energy levels are at an all-time high right now. And that’s energy levels in terms of not just public awareness and utilization of the services, but also the gained respect of recognizing that hospice is not a cottage industry anymore. Some people might label it as growing pains. I call it more of an evolution that naturally seems to occur in any field and in any organization."  [Continue reading ...]

Harmonizing federal and Florida laws on prescribing controlled substances through telehealth JD Supra; by Jeremy Burnette, Martin Dix, and John Hood; 3/24/25 Practitioners who want to prescribe controlled substances via telehealth to patients in Florida must meet the requirements of both federal and state law. The federal Drug Enforcement Administration (DEA) and the Florida legislature have recently amended the applicable federal regulations and state laws, respectively, to allow the prescribing of controlled substances via telehealth[*] without conducting an in-person evaluation under certain circumstances. There are key differences between federal and state law, so practitioners prescribing controlled substances via telehealth to patients in Florida should be aware of the particular requirements of each. [Continue reading ...]

The power of data in enhancing hospice care at United Hospice Mid-Hudson News, Hudson Valley, NY; by Mid-Hudson News Staff; 3/23/25 ... United Hospice CEO Cara Pace said data plays a crucial role in tracking patient health status, symptom management, and overall comfort. ... Hospice care must evolve to meet the changing needs of patients and families. By leveraging data, United Hospice can make informed decisions about service expansions, patient care enhancements, and operational improvements. Data-driven insights guide leadership in planning for the future, ensuring that the organization remains responsive to community needs while continuing to provide exemplary care. ... [Hospices] must be attentive to the experiences of both patients and their families. “By systematically collecting feedback through surveys and other data collection methods, United Hospice can assess satisfaction levels, identify areas for improvement, and address concerns proactively,” Pace said. “This continuous engagement fosters trust and strengthens relationships with families and the broader community.” ... [Continue reading ...]

National Alliance’s Scott Levy: Hospices need ‘regulatory relief’ to protect ‘sacred benefit’ Hospice News; by Holly Vossel; 3/21/25 The hospice industry is undergoing a transformative period of rising demand and regulatory changes. Providers of all sizes and types are facing mounting operational challenges and financial strains with limited recourse to voice their collective concerns to legislators. This is according to Scott Levy, chief government affairs officer at National Alliance for Care at Home (the Alliance). Levy stepped into the role earlier this year after holding a similar position at Amedisys. He has been involved in government relations, public policy, advocacy and law for more than 20 years. Levy recently sat down with Hospice News to discuss the array of regulatory and legislative evolutions on the horizon in hospice care delivery.  .[Continue reading ...]

Trump’s first 60 days: The impact on the home health industry Home Health News; by Audrie Martin; 3/20/25 Tax, immigration and diversity, equity and inclusion policies are some of the top-of-mind regulatory concerns for home health agencies in 2025. The first 60 days of the Trump Administration and their impact on the home health care industry were highlighted during a webinar hosted by the Polsinelli Law Firm on Thursday. National Alliance for Care at Home CEO Steve Landers and Home Care Association of America (HCAOA) CEO Jason Lee joined representatives from Polsinelli to discuss potential Medicaid cuts, the importance of extending telehealth services, and the need for workforce expansion. The webinar also explored how executive orders and administrative actions are affecting home care and hospice services. [Click on the title's link to continue reading.]

Hospice of the Panhandle gets van through grant The Journal, Martinsburg, WV; 3/19/25 As a result of a generous state Local Economic Development Assistance (LEDA) grant secured by state Sens. Jason Barrett and Patricia Rucker and former state Sen. Craig Blair, Hospice of the Panhandle was able to purchase this 2025 Toyota Sienna custom van, designed for non-emergency transportation. Since coming into service on March 1, the van has transported 15 patients to and from area hospitals to Hospice’s Inpatient Facility and from the IPF to patients’ homes. “We are so excited to provide this much-needed service,” said CEO Nikki Bigiarelli. “It assures that we can get patients into hospice care, to our facilty and to their homes safely and quickly.”  

Health care system adaptation and resilience during the wildfire crisisJAMA Network; by Attila J. Hertelendy, PhD, Jeremy Maggin, MD, MS, and Gregory Ciottone, MD; 3/19/25 ... Within a span of hours, the Palisades and Eaton fires, propelled by record-breaking Santa Ana winds reaching 150 miles per hour, consumed more than 37,000 acres, destroyed more than 16,000 structures, and claimed 29 lives. All told, greater than 186,000 residents were placed under evacuation orders. ... The experience in Los Angeles County demonstrates the value of maintaining dual-purpose resources: facilities and personnel who can transition between routine operations and emergency response functions. This approach is exemplified by Kaiser Permanente’s successful deployment of mobile health vehicles and the use of clinically trained administrative leaders in direct patient care roles during crisis events. Key elements of successful resource mobilization include:

Hospice community responds to proposed DEA telehealth prescribing rule Hospice News; by Jim Parker; 3/20/25 A proposed rule by the U.S. Drug Enforcement Administration (DEA) could impede timely access to medications for hospice and palliative care patients, according to members of the hospice community. ... If finalized, this proposed rule would require prescribers to register with the DEA before they are allowed to prescribe schedule II-V controlled substances, along with some monitoring and other requirements.  ... Implementation of the proposed rule would have adverse consequences for hospice and palliative care patients, according to the National Alliance for Care at Home. ... The Alliance made several recommendations to the DEA regarding the proposal: 

AI scribes: Can technology do more than free doctors from data entry? Penn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 3/17/25 Since the widespread adoption of electronic health record (EHR) systems in the 1990s, the health care industry has been on a relentless quest to digitally optimize the doctor-patient interaction. Today, many predict this pursuit will be dramatically changed by the integration of artificial intelligence (AI) into nearly all aspects of EHR systems, transforming patient care and clinical workflows in ever more revolutionary ways. AI-powered EHRs are now theoretically capable of automating administrative tasks, providing real-time clinical insights, personalizing treatment plans, and allowing health care providers to focus more on patient care and less on data entry.

Salutes hospice staff, volunteers The Messenger, Fort Dodge, IA; Letter to the Editor by Mary E. Larson; 3/19/25 My heart was saddened when I heard that the Paula J. Baber Hospice Home is closing. I was the volunteer coordinator for UnityPoint Hospice volunteers from 2003-2022. A lot of our volunteers spend many hours in our wonderful Hospice Home helping our patients, their families and guests and staff. This home is such a blessing to our community. When our patients would come to the hospice home, our staff would care for them so their loved ones could spend more time being with them in their final days. ... It will be a huge loss for our community when it closes. Mary E. Larson

Medicaid’s role in health and in the health care landscape: LDI expert insights and key takeaways from select publications Penn LDI - Leonard Davis Institute of Health Economics, Philadelphia, PA; by Julia Hinckley, JD; 3/17/25... Medicaid accounts for one-fifth of U.S. health care spending and covers more than a quarter of Americans. LDI researchers have examined the services it provides in supporting aging adults, people with disabilities, and children, as well as its role in health crises such as chronic disease and suicide. ... Below are select key findings from recent peer-reviewed research, along with expert insights for policymakers considering changes to Medicaid funding in the federal budget.

Publisher's Dinner: Leaders of home care firm, hospital systems gather for dialogue on improving patient care Cincinnati Business Courier; by Trinity In Home Care; 3/14/25 The Cincinnati Business Courier in late February brought together the leadership of a leading Southwest Ohio home care agency with leaders of Greater Cincinnati’s hospital and hospice systems. The goal was to connect leaders of two essential aspects of the region’s health care system – inpatient hospital care and home care – to see how they could complement and support each other in delivering patient care and growing as organizations. [Click on the title's link for quotes from various leaders from this Cincinnati area.]

Medicare Payment Advisory Commission [MedPAC] releases report to Congress on Medicare Payment Policy 2025 report on Medicare payment policy Medicare Payment Advisory Commission, Washington, DC; News Release, contact Stephanie Cameron; 3/13/25Today [3/13/25], the Medicare Payment Advisory Commission (MedPAC) eleases its March 2025 Report to the Congress: Medicare Payment Policy. The report presents MedPAC’s recommendations for updating provider payment rates in fee-for-service (FFS) Medicare for 2026, providing additional resources to acute care hospitals and clinicians who furnish care to Medicare beneficiaries with low incomes, and eliminating certain Medicare coverage limits on stays in freestanding inpatient psychiatric facilities. The report reviews the status of ambulatory surgical centers (ASCs), the Medicare Advantage (MA) program (Medicare Part C), and the Part D prescription drug program (Medicare Part D). ... Fee-for-service payment rate update recommendations. ... MedPAC recommends ... payment reductions relative to current law for hospice providers, skilled nursing facilities, home health agencies, and inpatient rehabilitation facilities.  [Click on the title's link to continue reading.]