Literature Review

Two programs recognized as 2025 AHA Circle of Life Award Honorees | AHA American Hospital Association, Washington, DC; Press Release; 7/17/25 Two programs will be honored with the American Hospital Association 2025 Circle of Life Award for their efforts in palliative and end-of-life care. The winning programs are Gilchrist, Baltimore, Maryland, and Bristol Hospice – Hawaii, Honolulu, Hawaii. Both winners will receive this prestigious recognition during the AHA’s Leadership Summit in Nashville on July 20-22. The Circle of Life Award honors hospital and palliative care programs that are ensuring equitable access to care, implementing nontraditional models of care delivery and payment, fully integrating palliative care into a system of care or a community, making palliative care financially sustainable, developing meaningful measures and metrics to track progress, or partnering with payers, other providers, community groups and faith communities.Editor's Note: For more information,

6 health systems that faced worker strikes this month MedCity News; by Katie Adams; 7/22/25 Healthcare workers at six health systems across the country have launched strikes in July so far. These healthcare employees cite unsafe staffing levels, low wages and retaliation against union organizers as their main reasons for going on strike. From hospice centers to emergency rooms, frontline healthcare workers across the country have been striking this month to protest what they say are unsafe patient care conditions and poor bargaining behavior. Below are six examples of union activity resulting in a strike — all of which occurred in July.

Carter, Bera introduce bill to strengthen palliative and hospice care workforce United States Representative Buddy Carter, Washington, DC; Press Release; 7/17/25Reps. Earl L. “Buddy” Carter (R-GA) and Ami Bera, M.D. (D-CA) today introduced the Palliative Care and Hospice Education and Training Act (PCHETA), bipartisan legislation to invest in training, education, and research for the palliative care and hospice workforce, allowing more practitioners to enter these in-demand fields. ... "As a pharmacist, I understand the toll burnout takes on the health care industry, and I am committed to bolstering the workforce so nurses, doctors, and all health care workers can continue to pursue their passion for helping others,” said Rep. Carter. "As a doctor, I know how important it is to provide patients with comfort, clarity, and support when they’re facing serious illness,” said Rep. Bera. “The Palliative Care and Hospice Education and Training Act is a smart, bipartisan step to ensure more health care professionals are trained to deliver this kind of care."Editor's Note: Bravo to this pharmacist and physician bipartisan team for introducing this bill. Go to the article and scroll down to this press release's long list of "Supporting Organizations."

Measuring goal-concordant care using electronic clinical notesJAMA Network; by Catherine L. Auriemma, Anne Song, Lake Walsh, Jason Han, Sophia Yapalater, Alexander Bain, Lindsay Haines, Stefania Scott, Casey Whitman, Stephanie Parks Taylor, Gary E. Weissman, Matthew J. Gonzales, Roshanthi Weerasinghe, Staci J. Wendt, Katherine R. Courtright; 7/3/25In this longitudinal cohort study among 109 patients with serious illness and limited prognoses, clinicians reviewed and classified 398 epochs of care as goal concordant (50%), goal discordant (19%), or of uncertain concordance (32%) with nearly perfect interrater agreement for categorizing the type of care received. These findings suggest that using electronic clinical notes to measure goal-concordant care is feasible, laying the groundwork for future automated text-based classification methods to improve reliability and pragmatism of measuring goal-concordant care for clinical and research use at scale.

Texas flooding: Live updates and main donation linkLinks below are from CNN and the Community Foundation of the Texas Hill Country

Hill Country vigil draws hundreds after deadly Texas floods MYSA, San Antonio, TX; by Nicholas Hernandez; 7/11/25 ... On Thursday, July 10, hundreds gathered downtown for a Candlelight Vigil of Hope to honor those affected [by the "catastophic flood"] and shine a light on the importance of grief and mental health support in the wake of disaster. Organized by River City Advocacy in partnership with Hope Hospice and other local nonprofits, the event brought together counselors, community leaders and families. Handheld candles were distributed at the plaza, where people stood shoulder-to-shoulder in silence, prayer and remembrance. ... "If there’s one thing that New Braunfels knows, it’s how to gather and how to support each other, especially in times of flooding and tragedy," said Heather Harrison, director of development at Hope Hospice and Hope Hospice Foundation.Editor's Note: Thank you Hope Hospice for your leadership in providing this crucial way to gather and grieve. Calling all hospice leaders to simply "check in" on employees who have family and friends in affected areas when such crises occur. Other recent examples include Hurricanes Helene & Milton, the Los Angeles wildfires, Kentucky floods, and these Texas / New Mexico floods. Your kind, timely words can make a lasting difference.

With new facility, Mourning Dove Grief Care expands help for survivors of loss Oil City News, Casper, WY; by Dan Cepe; 7/16/25 Death can be natural, or it can be cruel and unexpected. It is, however, an inevitable part of the human experience that can affect survivors in countless ways possibly for the remainder of their lives. ... Mourning Dove Grief Care, a service by Central Wyoming Hospice & Transitions, aims to provide that help to members of the community.  ... The [new] facility will allow anyone in the community suffering from loss to walk in and schedule appointments or join a support group, whether they’ve gone through Hospice or not. The program itself started when Hospice noted the need for grief care in the community, particularly for people suffering from sudden losses. “Interestingly enough, we found that even therapists and counselors were referring to us when they had clients dealing with loss,” she said. 

Hosparus Health plans to create end-of-life care center Spectrum News 1, Louisville/Lexington, KY; by Destinee Flowers; 7/16/25 Plans for Louisville’s first inpatient, standalone hospice care center are underway, as a part of Hosparus Health’s ongoing efforts to provide comfortable end-of-life care for seniors and their loved ones. ...  Tawanda Owsley, Hosparus Health chief development and marketing officer [described], "We will have a 21-bed, 10,000-square-foot unit ... [and that] the new facility will replace a traditional hospital setting with a warmer one while still providing high-level clinical care. It will have private rooms to accommodate family members, bathrooms in each care room, a chapel, kitchen, children’s room and an outdoor garden area. “[Our] healing garden will be a pathway from our inpatient care center to our grief counseling center," she said. ... This end-of-life care center is the third project in Hosparus Health’s “Places of Compassion” initiative, an action to modernize hospice care in anticipation of the aging Baby Boomer population.

The Alliance’s CaringInfo Program launches new “Planning for In-Home Care” section National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 7/16/25 CaringInfo.org, a program of the National Alliance for Care at Home (the Alliance), is expanding its resources with a new website section – “Planning for In-Home Care” – as well as a brand refresh to align with its growing audience. CaringInfo provides free resources to educate and empower patients and caregivers to make informed decisions about home, serious illness, and end-of-life care and services. While CaringInfo began with a focus on serious illness and end-of-life care and support, the program’s content is expanding to provide information and resources on the full spectrum of home-based care services. ... Visit CaringInfo.org, which is free and available to all, to explore the full site as well as the new content.

Tracking the Medicare Provisions in the 2025 Reconciliation Bill | KFF KFF; updated 7/8/25 Similar to the chart for Medicaid provisions in the 2025 Reconciliation Bill, KFF also provides details on the changes for Medicare. Topics include eligibility policies, physician payment, prescription drugs, rules for Pharmacy Benefit Managers (PBMs), nursing homes – including the prohibition of implementation, administration, or enforcement of the minimum staffing levels requirement until October 1, 2034, and funding for HHS to “contract with AI contractors and data scientists to identify and reduce Medicare improper payments and recoup overpayments.Guest Editor’s Note, Judi Lund Person: The chart of Medicare provisions confirms that implementation of the Medicare eligibility and enrollment final rule will be delayed until October 1, 2034, except for those provisions that have already taken effect. The Senate version enacted into law also has a temporary one-year increase of 2.5% in the Physician Fee Schedule conversion factor for all services furnished between January 1, 2026 and January 1, 2027 and a delay of the nursing home staffing final rule until October 1, 2034. It is helpful to have the chart in a usable form for reference on the final bill enacted into law.

KFF publishes summaries of Health Provisions in the 2025 Federal Budget Reconciliation BillKFF; updated 7/8/25 On July 3, the House passed the same version of the budget reconciliation bill passed by the Senate on July 1. On July 4, President Trump signed the legislation into law . KFF published this summary to describe the health care provisions in the law (described as the Senate-passed bill) in four categories: Medicaid, the Affordable Care Act, Medicare and Health Savings Accounts (HSAs). It also compares the provisions to a earlier draft of the bill passed by the House on May 22. Guest Editor’s Note, Judi Lund Person:  KFF was formerly known as the Kaiser Family Foundation but since KFF is not a foundation and has no connection to Kaiser Permanente, they are now called simply KFF. They state “As a one-of-a-kind information organization, we bring together substantial capabilities in policy research, polling, and journalism in one organization to meet the need for a trusted, independent source of information on national health issues—one with the scope and reach to be a counterweight to health care’s vested interests and a voice for people.”

HR1: The One Big Beautiful Bill Act - Provisions relevant to Medicaid HCBS providersNational Alliance for Care at Home; 7/7/25The Alliance has created a detailed summary for providers that deliver Medicaid-funded home and community-based services (HCBS) about provisions in the House Resolution 1, the One Big Beautiful Bill Act, also known as the “Reconciliation” bill. View the Alliance's recent statement following House passage of the bill. President Trump signed the legislation on July 4, 2025, and therefore the provisions below will now become law.Publisher's note: Membership required to access full analysis. Also, direct hospice impact appears minimal; indirect hospice impact (e.g., hospice impact as a result of Medicaid nursing home impact) unclear.

Health care attorneys: Hospice investigations coming from all sides Hospice News; by Jim Parker; 7/8/25 Hospices are subject to a rising number of investigations and audits from Medicare contractors, the U.S. Department of Health and Human Services Office of the Inspector General and, in some cases, the U.S. Justice Department, among others. Hospices need to understand the various types of investigations they may encounter and how to respond to them. Key factors are completely and accurately documenting the medical necessity of the care they receive. Hospice News sat down with Guillermo Beades and Todd Brower, partners with the law firm Frier Levitt to discuss the ins-and-outs of hospice investigations and how providers should respond.