Literature Review

The pitfalls that derail home health providers’ new palliative care efforts Home Health Care News; by Joyce Famakinwa; 10/14/25 ... Though home health-operated palliative care is a rarity, companies like Visiting Nurse Health System, Contessa Health and Compassus have managed to successfully incorporate these services into their broader care delivery model. When structuring an effective palliative care services program, there are some common pitfalls home health providers should avoid. “One of the biggest ones is positioning palliative care as early hospice,” Nikki Davis, senior vice president of palliative care programs at Contessa, said at Home Health Care News’ FUTURE conference. “And just make sure that there’s also clear eligibility and referral pathways, so that when you’re partnering with your home health and hospice teams, you have those processes in place, so that it’s very clear who’s eligible for palliative care.”

Conspiracy of verticals:  Rethinking healthcare models with Peter Benjamin Teleios collaborative Network (TCN); video/podcast hosted by Chris Comeaux with Peter Benjamin; 10/8/25 In this conversation, Peter Benjamin and Chris Comeaux discuss the impact of COVID-19 on mortality rates, particularly the concept of 'death pull forward' and its implications for Hospice Care. Peter highlights the significant role of assisted living facilities in Hospice days and explores macro trends in healthcare, emphasizing the shift from vertical to horizontal care models. The discussion also covers the evolution of Palliative Care, frail elderly practices, and institutional special needs plans (iSNPs), while stressing the importance of measuring quality of care, particularly in pain management. 

Raising the standard of Arizona’s dementia care Lovin' Life; by Lin Sue Flood; 9/7/25 Arizona is setting a bold new standard to better support families impacted by dementia. A groundbreaking state mandate requires all memory care facilities to provide up to 12 hours of specialized dementia training to their staff, plus four hours of continuing education each year. This extensive training combines online video modules with hands-on, in-person skills sessions. Hospice of the Valley’s experienced Dementia Team is leading the way as one of the agencies the Arizona Department of Health Services has approved to deliver this comprehensive training. The nonprofit organization is unique in offering it as a free community service.

Homewatch CareGivers president on moving into clinical care, building partnerships of the future Home Health Care News; by Joyce Famakinwal 7/16/25 ... Denver-based Homewatch CareGivers operates in over 30 states and has 234 locations. The personal care franchise employs over 4,500 caregivers. The company’s goal to continue “filling the white space” has resulted in 20 new franchisees since 2023. Plus, Homewatch CareGivers is expanding into the clinical care space with the launch of a nursing services vertical, and through its partnerships with health systems and hospitals. Home Health Care News recently caught up with Homewatch CareGivers President Todd Houghton. During the conversation, he explained why hospitals benefit from home care partnerships, how Homewatch CareGivers is building out its clinical capabilities and how the company is utilizing AI tools.

‘It’s going to be the expectation’: Alternative care models reshape home-based care Home Health Care News - Hospital at Home; by Joyce Famakinwa; 6/10/25 At-home care providers are looking to the future. This means seriously investing in alternative home-based care models, such as hospital-at-home and Program of All-Inclusive Care for the Elderly (PACE). DispatchHealth, Contessa Health and Alivia Care are some of the organizations that have jumped headfirst into alternative home-based care models, enabling the creation of more comprehensive care delivery models. While alternative care models come with inherent challenges, including a complex regulatory environment and higher capital investments, these models are set to become an expectation for home-based care providers.

Understanding Conservatory Care Services: A comprehensive overview Articlescad.com; by Jonassen Randall; 4/27/25 As the population ages and healthcare requires evolve, conservatory care services have become a crucial part of the continuum of care for numerous individuals. Unlike standard medical treatment environments, conservatory care services focus on supporting people with persistent conditions or impairments, providing a holistic technique that promotes self-respect and quality of life. This short article will explore what conservatory care services entail, who can benefit from these services, and the various kinds they can take.

Attorneys general challenge Trump’s deportations, citing impact on home health workforce McKnights Home Care; by Adam Healy; 4/16/25 Nineteen state attorneys general filed an amicus brief Monday challenging President Donald Trump’s deportation policies. Among their arguments, they contended that deportations would have an outsized, negative impact on the home health industry’s ability to deliver care. “From a public health perspective, [states] depend on noncitizen healthcare workers who, like other immigrants, are forced to live in a climate of fear — nationwide over 1 million immigrants work in healt hcare, including 40% of home health aides and 18% of nursing home staff,” the brief said. The brief aims to block the administration’s so-called “ideological deportation policy,” established by executive orders 14161 and 14188. These orders intimidate workers, impair healthcare delivery and harm states’ economies, the attorneys general argued. 

HHS cuts pose threat to older Americans' health and safety Newsweek; by Kristin Lees Haggerty and Scott Bane - The National Collaboratory to Address Elder Mistreatment at Education Development Center (EDC); The John A. Hartford Foundation; 4/17/2 On March 27, 2025, the federal government announced major cuts to the department of Health and Human Services (HHS). ... Sounding the Alarm for Elder Justice: The population of older adults is rapidly growing, and one in 10 experience abuse, neglect, and/or exploitation—a risk that is even higher for those living with dementia. ... Cutting services to older adults will increase these risks and costs. Moreover, ... 11.5 million family and friend caregivers provide over 80 percent of help needed for people living with dementia in the U.S. Without access to services like Meal on Wheels, adult day care, and respite care, we can expect caregiver burden and strain to increase significantly and with it, rates of elder abuse, emergency department visits, hospitalizations, and nursing home placements. We know this because of the abuse spike seen clearly during the COVID-19 pandemic, which doubled to over 20 percent of older adults, as services were limited, and older adults were socially isolated. HHS cuts are also likely to result in loss of specialized expertise in identifying and addressing elder mistreatment, so that when elder abuse does occur, we won't have the services to stop it and make sure it won't happen again.

How a Lewiston health care nonprofit diversified to sustain services Mainebiz; by Laurie Schreiber; 3/20/25 Ken Albert leads Lewiston-based Andwell Health Partners, an independent, nonprofit home- and community-based health care organization. The former Androscoggin Home Healthcare and Hospice, founded in 1966, focused on home health care and hospice in Androscoggin, Oxford and Franklin counties. Rebranded in 2024 to reflect its expansion in recent years, Andwell now has locations throughout Maine, with additional service lines including in-home hospice care, Maine’s first inpatient hospice facility, the Maine Center for Palliative Medicine, community and behavioral health, mobile wound care, in-home care giving, private-duty nursing, therapy care, ad maternal and child health. This week, it opened Andwell Audiology in Lewiston. 

Is Medicare ready for an aging america? Home-based care offers hope RealClear Health; by Jonathan Fleece, JD (President and CEO of Empath Health) and Dr. Steve Landers (CEO of the National Alliance for Care at Home); 3/12/25Too often, families face an impossible situation: a loved one is ready to leave the hospital, but no home health provider is available. Or they’re told hospice is the best option, but administrative red tape delays access to comfort and support. These failures put patients at risk. ... This experience underscores why policymakers must protect and expand access to home-based care—before more patients fall through the cracks. ... According to one analysis, in a recent three year period, hospital stays for patients waiting to be discharged to post-acute care providers increased by 24 percent, deteriorating health outcomes and quality of life. Discharge delays – caused by hospital capacity issues and workforce shortages – not only cause harm to patients; they also add unnecessary strain and costs on our healthcare system.

Humana selects Thyme Care for oncology services MociHealthNews and HIMSS Media; by Anthony Vecchione; 3/3/25 Humana has unveiled an agreement with value-based cancer care platform Thyme Care with the aim of providing oncology support for its Medicare Advantage (MA) members. The agreement impacts MA members who reside in Michigan, New York, Illinois, Indiana, Tennessee, Pennsylvania and New Jersey. Eligible Humana members will have access to Thyme Care’s services, which include 24/7 virtual care navigation. Additionally, patients will be connected to a care team made up of oncology nurses, nurse practitioners, social workers and resource specialists. Thyme Care's team will provide medication guidance, urgent care support, chronic condition management and palliative care support.

The number of family caregivers helping older US adults increased from 18 million to 24 million, 2011–22 Health Affairs; by Jennifer L. Wolff, Jennifer C. Cornman, and Vick A. Freedman; 2/25 The evolving composition and experiences of the family caregiver workforce have profound ramifications for public policy but are not well understood. Drawing on the linked National Health and Aging Trends Study and National Study of Caregiving, we found that the numbers of family caregivers providing help to older adults increased by nearly six million between 2011 and 2022, rising from 18.2 million to 24.1 million. ... For family caregivers as a whole, challenges persist, and for those assisting people with dementia, tailored surveillance and effective support programs are needed.

New report details financial, emotional toll of Parkinson’s on family caregivers McKnights Home Care; by Foster Stubbs; 2/4/25 A new report sheds a light on the unique challenges faced by family caregivers who care for loved ones with Parkinson’s disease (PD). The report, Parkinson’s Disease Caregiving in the US, features insights from secondary analysis and supplementary interviews with 10 PD caregivers. These caregivers average 31 hours of unpaid care per week; half of interviewed caregivers exceed 100 hours each week, according to the report. The National Alliance for Caregiving (NAC), with support from The Michael J. Fox Foundation for Parkinson’s Research (MJFF) and Arcadia University, released the report.