Literature Review

Roughly 40 percent of nurses plan to leave profession within 5 years, survey finds McKnights Home Care; by Adam Healy; 5/13/25 The nursing workforce today is more stable than it was during the height of the COVID-19 pandemic, but a significant share of nurses still plan to leave the profession behind in the next five years, according to the 2024 National Nursing Workforce Survey published in the Journal of Nursing Regulation. ... Approximately 40% of RNs, LPNs and LVNs surveyed said that they planned to leave nursing sometime in the next five years. In 2022, roughly 26% of nurses said the same. The most common reasons nurses cited for wanting to leave their jobs included retirement, stress or burnout, workloads and pressures caused by understaffing, the report noted.

Downside risk, upside payment highlight new CMS innovation agendaModern Healthcare; by Bridget Early; 5/13/25The Centers for Medicare and Medicaid Services is rolling out a broad new agenda for its innovation center that could lead to requirements that participants in value-based care programs to take on downside risk, the agency announced ... The Center for Medicare and Medicaid Innovation plan prioritizes shared risk and prospective payments, streamlined quality measurement, artificial intelligence and other technologies, and Medicare Advantage payment models, Director Abe Sutton said in an interview Friday [5/9]. Notably, CMS is walking away from a goal set four years ago to have all fee-for-service Medicare beneficiaries under accountable care arrangements by 2030, Sutton said. CMS provided Modern Healthcare an advance look at the new innovation center platform. ... Designing models that require providers to accept at least some downside risk could be the most consequential action stemming from the plan. Subjecting participants to potential financial losses, not just potential benefits, is key to driving cost savings and quality improvement, Sutton said.

DOJ reportedly rejects Amedisys’ divestiture plan as part of UnitedHealth Group deal McKnights Home Care; by Adam Healy; 5/12/25 The Department of Justice reportedly has rejected Amedisys’ plan to divest more than 100 locations in its plan to be acquired by UnitedHealth Group subsidiary Optum, according to CTFN, which tracks mergers and acquisitions. The DOJ decision could spell trouble for the future of Amedisys’ deal with Optum. The Department of Justice reportedly has rejected Amedisys’ plan to divest more than 100 locations in its plan to be acquired by UnitedHealth Group subsidiary Optum, according to CTFN, which tracks mergers and acquisitions. The DOJ decision could spell trouble for the future of Amedisys’ deal with Optum.

Trailor for "The Chaplain & The Doctor" Reel Medicine Media; retrieved from the internet 5/5/25This video premiered at the San Francisco International Film Festival April 21st and 23rd. Two unlikely allies work to bring curiosity, connection, and compassion to a broken healthcare system, one patient at a time. Betty Clark is an 80-year-old, African American chaplain on staff at The Wilma Chan Highland Hospital Campus, the level-one trauma center in Oakland, California. Jessica Zitter is a white, Jewish physician who has been Betty’s colleague on the Palliative Care service for over a decade. The two women are an unlikely team: chaplains and doctors do not usually pair up within the hierarchical and siloed halls of the hospital. ... But with time, the two women’s shared values and history overcome the forces that keep them apart, and they go on to do their best work together. Under Betty’s guidance, Jessica begins a journey to understand the barriers and biases that doctors like herself often bring to the bedside. As Betty starts to face her own health challenges, Jessica takes over her care through a deeply personal lens, witnessing more intimately the experience of patients of color in America’s hospitals – this time, with someone she’s grown to love.

Private equity in health careAMA Journal of Ethics; 5/25One way private equity differs from other for-profit investments is by aiming to maximize profitability while minimizing long-term holdings in such investments. Valuation for private equity acquisitions in health care has grown to over 150 billion dollars since 2020, and expansion continues. One reason private equity investment in the health sector deserves close ethical attention is that private equity firms are, generally, not interested in managing patient panels, clinician personnel, or making service delivery streams work for patients. Another reason is that influx of private equity investment in health care tends to consolidate markets for health services, undermining competition and driving up costs for patients. This theme issue considers which criteria should be used to determine whether, when, and for whom buying and selling of private equity in health care stands up to ethical, clinical, and legal scrutiny and considers how to better guide and regulate private equity transactions in health care.Publisher's note: This entire journal issue (14 articles) focuses on the role of private equity in health care.

‘I want to pat dogs until I die’: End-of-life planning should be more than just Living Wills Healthy Debate; by Kathy Kastner; 5/4/25 France Légaré, Canada Research Chair in Shared Decision-Making and Knowledge Mobilization, wants to have stimulating conversations and be able to move around with her dog until she dies. Daneil Martin, the Chair of the Department of Family and Community Medicine at Women’s College Hospital, wants to “smell chocolate until I die.” The two doctors are among the 200+ who took the time to fill in the blank on a whiteboard, “I WANT TO__ UNTIL I DIE,” an initiative I undertook after tuning in to a hospice and palliative care medicine Twitter chat in the good old days of Twitter. As a layperson who became an entrepreneur in the health space, I was intrigued by the lament of health-care professionals on the chat: If only people talked about end-of-life wishes more, much grief could be avoided. 

American Nurses Enterprise celebrates the power of nurses during National Nurses Week, May 6-12 American Nurses Enterprise: American Nurses Association - American Nurses Credentialing Center, American Nurses Foundation, Silver Spring, MD; newsroom@ana.org; 4/20/25 Today, the American Nurses Enterprise — encompassing the American Nurses Association (ANA), the American Nurses Credentialing Center (ANCC), and the American Nurses Foundation (ANF) — kicks off National Nurses Week (May 6–12) with a powerful message: The Power of Nurses™. This year’s campaign shines a national spotlight on nurses as the driving force behind compassionate care, innovation, and transformative changes in healthcare. From coast to coast, the enterprise is launching a series of high-impact events — including a national press conference, educational webinars, landmark light-ups, and direct engagement with policymakers—to celebrate the unparalleled contributions of nurses and call on the public to honor their essential role in shaping a healthier future for all.Editor's note: For more, explore "National Nurses Week History" and our "Today's Encouragement."

Executive Personnel Changes - 5/2/25

Empath Health’s new One Hospice Model a ‘blueprint’ for scalable growth Hospice News; by Holly Vossel; 5/5/25 Empath Health on Monday integrated its seven hospice brands under one umbrella. ... The Florida-based nonprofit’s seven brands collectively care for one-in-five hospice patients statewide and include Empath Hospice, Hospice of Marion County, Suncoast Hospice, Suncoast Hospice of Hillsborough, Tidewell Hospice and Trustbridge (also Hospice by the Sea and Hospice of Palm Beach County). ...The new One Hospice Model is structured to provide more direct referral and community access to Empath Health’s overall network of services/ entire continuum of care. ... The new model is designed to strengthen the outlook of hospice care delivery as providers face myriad sustainability challenges, according to Empath Health. Rising demand, workforce shortages, program integrity and regulatory challenges, economic pressures and a shifting hospice marketplace are just some of the leading issues among today’s leaders.

Listen to what your mother tells you, especially near the end News+ Membership; by Jerry Davich; 5/7/25If your mother is no longer alive, what were her last words to you? My mom passed away two years ago and I’ve been asking myself this question since her last breath, which took place in my presence. I had just placed a yellow tulip next to her pillow on a bed inside her hospice room. It was an early Mother’s Day gift, continuing a tradition I started as a child with a stolen tulip from a neighbor’s yard. I knew my mother would not be around a month later for her special holiday. In fact, she wouldn’t be around just a minute later. While pondering that stolen moment, I looked over to my mom and noticed her left index finger moving. It was just a twitch, but until that time she had made no movements since she was admitted into a local hospice near my home. ...... Though I can’t recall my mom’s final words, I deeply feel her lasting legacy of love for my family. We continue to talk about her every day. We think of her every moment. We share photos and memories of her on a family group text thread. Some make us laugh. Some make us cry. This is the beauty and the heartbreak of losing a mother or a father. My mom may be gone, but her gentle voice can be heard in my head any time I want or need it. ...

Addressing workforce challenges: Hospice in the news, April 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 5/7/25 What defines quality in end-of-life care?  How are Hospice organizations navigating workforce challenges?  And why has medical aid in dying become such a critical conversation?  These questions take center stage in this data-driven exploration of April's most impactful Hospice and Palliative Care news stories. In this episode of TCNtalks, Chris Comeaux and Cordt Kassner discuss the top news stories from April, focusing on Hospice and Palliative Care.  They explore personal aspirations, data insights, the impact of spiritual care, emerging categories in news reporting, and key themes such as reimbursement and workforce challenges.  The conversation also touches on mission moments, regulatory changes, technology innovations, and the evolving nature of leadership in healthcare, particularly in the context of AI and human skills. ... Cordt closes the show with a Master's Class reviewing the National Hospice Locator, a valuable tool for finding high-quality Hospice Care anywhere in the country.

Empath Health introduces one hospice model, bringing together Florida’s established not-for-profit hospices under one mission Business Wire, Clearwater, FL; Press Release; 5/5/25 Empath Health, one of the nation’s largest 501(c)(3) integrated care networks, today unveiled its One Hospice Model—a first-of-its-kind framework that preserves community-based hospice while adding the scale, innovation and accountability of a statewide system. "Families deserve hospice that puts mission before margin," said Jonathan D. Fleece, President & CEO of Empath Health. ... The model integrates seven locally known hospice brands—Empath Hospice, Hospice of Marion County, Suncoast Hospice, Suncoast Hospice of Hillsborough, Tidewell Hospice and Trustbridge (Hospice by the Sea and Hospice of Palm Beach County)—which collectively care for one in five hospice patients statewide. Five of these affiliates have served their communities for more than 40 years, delivering generations of compassionate, not-for-profit care.

Private equity in health careAMA Journal of Ethics; 5/25One way private equity differs from other for-profit investments is by aiming to maximize profitability while minimizing long-term holdings in such investments. Valuation for private equity acquisitions in health care has grown to over 150 billion dollars since 2020, and expansion continues. One reason private equity investment in the health sector deserves close ethical attention is that private equity firms are, generally, not interested in managing patient panels, clinician personnel, or making service delivery streams work for patients. Another reason is that influx of private equity investment in health care tends to consolidate markets for health services, undermining competition and driving up costs for patients. This theme issue considers which criteria should be used to determine whether, when, and for whom buying and selling of private equity in health care stands up to ethical, clinical, and legal scrutiny and considers how to better guide and regulate private equity transactions in health care.Publisher's note: This entire journal issue (14 articles) focuses on the role of private equity in health care.