Literature Review

Hospice Insights Podcast - Psychedelics and end of life care: Understanding the legal landscape Hospice Insight - The Law and Beyond; by Husch Blackwell LLP; 3/12/25 There has been a lot of buzz around psychedelics, and particularly their potential usefulness in treating existential suffering at the end of life. Husch Blackwell was the first law firm in the country to establish a Psychedelics & Emerging Therapies practice group devoted to helping clinicians, researchers, and investors navigate the complex and difficult legal and regulatory issues involved in developing new therapies in this space. In this episode, host Meg Pekarske is joined by the leaders of Husch Blackwell’s Psychedelics & Emerging Therapies practice group, Kimberly Chew, Karen Luong, and Natasha Sumner, who provide an overview of what psychedelics are, their legal status under federal and state laws, and liability considerations for clinicians.

Hospice care quality: Latest CMS data Becker's Hospital Review; by Elizabeth Gregerson; 3/12/25 CMS has analyzed data from more than 5,000 hospice agencies for its latest update to Care Compare. Care Compare, a consumer search tool for home health, hospice and other Medicare-reimbursed healthcare services, provides patients with information to make informed decisions about healthcare. National hospice care quality data from April 1, 2023, and March 31, 2024, was published by the agency Feb. 19. ... The proportion of hospice patients who received each care measure:

Hospice industry gets reprieve as Trump admin pauses oversight program Axios; by Maya Goldman; 3/13/25 A federal effort to increase oversight of hospice care has been put on hold by the Trump administration, resetting efforts to root out fraud and abuse in an industry that receives more than $25 billion from Medicare annually. Why it matters: Federal officials in recent years have ramped up efforts to identify instances in which hospice operators fraudulently bill the government or enroll patients who aren't terminally ill. But the new administration last month halted a Biden-era plan for noncompliant hospices to take corrective action or risk being kicked out of Medicare. The big picture: Medicare is required by law to implement some version of the targeted oversight program. But it's not clear how that will evolve in President Trump's second term. 

Empath Health CEO to Congress: Invest in home-based care Hospice News; by Jim Parker; 3/11/25The federal government must invest further in home-based care, Empath Health CEO Jonathan Fleece told lawmakers at a hearing with the U.S. House of Representatives Ways & Means Health Subcommittee. leece was among several post-acute care leaders who appeared at the hearing, representing home health, hospice, skilled nursing facilities, rehabilitation hospitals and other stakeholders. In opening remarks, Fleece pointed to the benefits of home-based care for patients and families, as well as the sector’s ability to reduce health care costs. 

El Paso doctor pays close to $500K to settle allegations of hospice healthcare fraud CBS 4 News, El Paso, TX; by David Ibave; 3/10/25 A doctor in El Paso agreed to pay almost half a million dollars on Monday to settle allegations that he was paid off by a hospice center to commit healthcare fraud back in 2021. According to the U.S. Department of Justice, John Patterson M.D. has agreed to pay the United States $468,626 to resolve allegations that he received kickback payments from Nursemind Home Care Inc. to certify patients for hospice care when they were not eligible for these services, submitting false claims to federal healthcare programs.

Here’s to Laura Ptucha-Skoog, hospice nurse YubaNet.com; by Timothy May; 3/10/25 “I’m not sure I’d say much at all, not at first. I would just try to listen.” This in response to the question of how a hospice nurse should respond if patients or family members make demands that seem unreasonable, unwise, or downright impossible. ... Laura Ptucha-Skoog should know; she has been an R.N. for decades and a nurse at Hospice of the Foothills for the last nine years. She loves her job, including the challenge of facilitating communication. Her ability to talk frankly with terminally ill hospital patients and families drew her to a career in hospice. “Often,” Laura explains, “the human elements are as challenging as the medical ones. Things like asking the right questions and listening to responses; making sure your patient and their caregivers understand what you are doing and why; verifying that everyone understands where you are in the process; listening to their responses with patience and empathy.” ... 

"The hospice heart": Hospice industry battles misconceptions, staffing shortages as expectations grow Pharos-Tribune, Logansport, IN; by  Josh Flynn Pharos; 3/9/25 ... There are a lot of misconceptions about hospice care and one of the largest is that entering hospice care is equal to giving up. ...Hospice care is one of the fastest growing industries as the Baby Boomer generation continues to age. The hospice care industry was valued at $34.5 billion in 2022 and is expected to grow in value to $67.7 billion by 2030. But misconceptions about hospice care and nursing shortages could threaten that future success. ... Maria Rogers is the public relations liaison at Guardian Angel Hospice in Logansport and she has devoted herself to tackling the misconceptions that surround hospice care. ... “You don’t have to be actively passing away to receive our services,” Rogers said. ... Jennifer Edwards, executive director of Heart to Heart in Mishawaka and Logansport, said many families don’t understand the role of medicine in hospice care. While something like chemotherapy would be discontinued, a hospice staff would never discontinue medications or fail to treat new problems that came up. ...

Norton KDH ending home health, hospice services March 31MadisonCourier.com, Madison, IN; by Bob Demaree; 3/6/25 Norton King’s Daughters’ Health has announced it will end its home health and hospice services effective March 31, providing a statement but not offering an explanation for the decision. “Helping local patients and families access important health services remains paramount to the mission and purpose of Norton King’s Daughters’ Health,” the state said. “While we will no longer be directly offering home health and hospice services, we worked with a variety of qualified regional providers to ensure that patients continue to receive appropriate care within their home setting. It has been a privilege for Norton King’s Daughters’ Health to support home health and hospice services for more than three decades. ..."

The 8 new rules of IT leadership — and what they replaceCIO; by Mary K. Pratt; 3/3/25 The technology landscape is rapidly evolving — so too is the way IT chiefs should lead their organizations. Here’s which old rules of IT leadership are no longer relevant and what has replaced them. ... Here, veteran CIOs, researchers, and advisers share the changes they’re seeing, offering a look at the new rules of IT leadership along with the old ones they’ve replaced. 

What's driving change in end-of-life care for February 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux; 3/5/25 In this episode, Chris Comeaux and Cordt Kassner, PhD—Publisher of Hospice & Palliative Care Today and CEO/Founder of Hospice Analytics—unpack the latest trends shaping end-of-life care in America.  Drawing on extensive experience and data-driven insights, they spotlight key Hospice headlines, research, and podcasts influencing the Hospice sector.  … Plus, Cordt delivers a masterclass on Hospice technology, offering practical tools and strategies to enhance care delivery.

My mother and brother have terminal cancer. I'm worried I won't feel anything when they die. Business Insider; essay by Kimanzi Constable; 3/1/25 ... My brother was diagnosed with Cutaneous T-cell lymphoma (CTCL) three years ago, and my mother found out she had stage four lung cancer a year ago. I got a call earlier this year that the cancer was spreading, and I flew to spend time with them. I knew it would be hard seeing them battling late-stage cancer, but what I walked into was my brother in the Advanced Cancer Care Center, unable to move, and my mother wanting to hold an "end of life" planning meeting. It was worse than I anticipated. It was hard to see him not moving and the nurses having to help him do everything. My mother looked like she weighed 50 pounds ... I'm worried I won't feel anything when they pass away. ... I think it might be just another day when they pass away. I've been thinking — what does that say about me? Am I a bad person for not falling on the ground and losing it for over half of my family dying? Or is this nothingness an OK feeling due to the complicated relationship we've had most of my life? ... Editor's note: Leaders, welcome to the daily world of your clinicians, especially your social workers, chaplains, and grief counselors. Read this with openness to the normalcy of this author's conflicted relationships, emotions, thoughts, and empowered actions toward "not wanting to regret how I handled this opportunity to say goodbye more healthily."

Here's how the federal funding freeze is impacting Kodiak organizations KMXT, Kodiak, AL; by Davis Hovey; 2/28/25 Billions of dollars in federal funding going to Alaska nonprofits and other entities are in jeopardy after a funding freeze implemented by the Trump administration. The fallout in Kodiak is impacting domestic violence shelters, agriculture programs and many other organizations. ... And then there are indirect impacts. For example, Hospice & Palliative Care of Kodiak relies partially on money from entities who have had their funding frozen. Hospice is a non-medical entity and the only one providing end-of-life services for those experiencing serious illness, death and bereavement in Kodiak. Executive director Diane Ibarra explained the organization’s funding structure during a local public affairs show, ... "So although we’re not directly reliant on federal funds, the people that often donate to us are. So if federal funding goes out the window, there goes our funding," Ibarra explained.

Medicaid health plans failing to pay hospices for nursing home room and board Hospice News; by Jim Parker; 3/3/25 ... Medi-Cal, California’s Medicaid program, is among the states that shifted management of its safety net health coverage to health plans. Under this system, Medi-Cal pays the health plans who then pass payments on to the providers. However, due to confusion among managed care plans that oversee Medicaid in most states, those hospices are not getting those dollars back, according to Craig Dresang,  CEO of YoloCares. This has caused hospices to lose thousands to millions of dollars in some cases. “Managed health care plans are saying they’re denying the claims, and they’re tying them up so that they age out. So the due date has passed and we can no longer bill,” Dresang told Hospice News. [Click on the title's link to continue reading.]