Literature Review

[Global] Top designs revealed in buildner’s Fourth Annual Hospice – Home for the Terminally Ill competition ArchDaily; 10/13/25 Buildner has announced the results of its fourth annual Hospice - Home for the Terminally Ill international architecture ideas competition. This global call for ideas continues to explore how architecture can support end-of-life care with empathy, dignity, and contextual sensitivity. The competition invited architects and designers to move beyond clinical requirements and envision spaces that offer emotional warmth, social connection, and a profound sense of place. ... An international jury reviewed the submissions for their design clarity, emotional resonance, and architectural depth. 

Microsoft tries to catch up in AI with healthcare push, Harvard dealThe Wall Street Journal; by Sebastian Herrera; 10/8/25  Microsoft has a lofty goal: to become an artificial-intelligence chatbot powerhouse in its own right rather than leaning on its partnership with the ChatGPT maker, OpenAI. ... A major update of Copilot scheduled for release as soon as this month will be the first to reflect a new collaboration between Microsoft and Harvard Medical School, people familiar with the matter said. The new version of Copilot will draw on information from the Harvard Health Publishing arm to respond to queries about healthcare topics. [access may be limited by a paywall]

These are the health insurers that quit Medicare Advantage Modern Healthcare; by Nona Tepper; 10/6/25 The Medicare Advantage market isn’t what it used to be, and some health insurance companies have had enough. At least seven insurers that offered Medicare Advantage plans this year abandoned the program for 2026 amid escalating spending, stricter regulation and narrowing margins, company and federal data show. Six carriers left the market ahead of the 2025 plan year, according to Centers for Medicare and Medicaid Services data analyzed by the health policy research organization KFF. Leading Medicare Advantage insurers such as UnitedHealth Group subsidiary UnitedHealthcare, Humana and CVS Health subsidiary Aetna withdrew from hundreds of counties, cut supplemental benefits and pulled back on marketing for the same reasons.

Acara Healthcare names Kerri Pendley Chief Executive Officer EIN Presswire, Dallas, TX; by Momentum Healthcare and Technology Consulting; 9/25/25 Acara Healthcare today [9/25] announced the appointment of Kerri Pendley as Chief Executive Officer, effective July 8, 2025. Pendley, who has served as Interim CEO since October 2024, was unanimously confirmed by the Board of Directors in recognition of her leadership during a pivotal year for the organization. With more than two decades of leadership experience in post-acute and home-based care, Pendley has guided Acara through a period of renewal and transformation. During her interim tenure, she stabilized operations, implemented cost-saving initiatives, and spearheaded a comprehensive growth strategy across Acara’s personal care, home health, and hospice service lines. 

68 hospitals, health systems cutting jobs Becker's Hospital Review; by Kelly Gooch and Kristin Kuchno; 8/29/25 A number of hospitals and health systems are reducing their workforces or jobs amid financial and operational challenges. [Listed] are workforce reduction efforts or job eliminations announced in 2025.

Taking the magnetic approach to leadership: Stop chasing and start attracting through alignment and authentic presence. Psychology Today; by Jessica Schrader; 8/3/25 Key points:

Where UnitedHealthcare, Humana rule the Medicare Advantage market Modern Healthcare; by Tim Broderick; 7/22/25 Medicare Advantage competition was meager in 97% of counties last year, where beneficiaries could choose among just a handful of dominant insurers. The health policy research institution KFF analyzed Centers for Medicare and Medicaid Services data on the plans available across the U.S. and Puerto Rico in 2024. The findings indicate that Medicare enrollees have few options in most areas. Market share was “highly concentrated” in 79% of counties and “very highly concentrated” in another 18%, KFF found, using metrics similar to those the Federal Trade Commission and the Justice Department employ to measure competitiveness. ... Ninety-three percent of Medicare-eligible people lived in “highly concentrated” or “very highly concentrated” counties. ... [Click here and scroll down for the national map with] the level of Medicare Advantage market concentration for each county and the market share for each county's top insurer.

Artificial intelligence and health care waste—Promise or peril?JAMA Health Forum; William H. Shrank, MD, MSHS; Suhas Gondi, MD, MBA; David J. Brailer, MD, PhD; 6/25One obvious target of AI [artificial intelligence] tools in health care is the reduction of waste. While LLM [large language model] applications to health care are still nascent—many still make errors, and more rigorous evaluations are needed—most agree that the long-term opportunity for AI in health care is tremendous. A recent study estimated that widespread adoption of AI could lead to savings of 5% to 10% of total US health care spending. Realizing even a fraction of this potential would increase the affordability of care for people in the US and free substantial societal resources to make other valuable investments. But getting there will require deliberate choices from leaders and policymakers and careful attention to risks that could set back progress.

BrightSpring Health Services (NASDAQ:BTSG) Q1 earnings: Leading the senior health, home health & hospice pack StockStory; by Jabin Bastian; 5/22/25 The end of an earnings season can be a great time to discover new stocks and assess how companies are handling the current business environment. Let’s take a look at how BrightSpring Health Services (NASDAQ:BTSG) and the rest of the senior health, home health & hospice stocks fared in Q1. ... The 7 senior health, home health & hospice stocks we track reported a strong Q1. As a group, revenues beat analysts’ consensus estimates by 2.3%. ... 

UnitedHealth urges shareholders to back CEO’s $60M pay package Becker's Payer Issues; by Rylee Wilson; 5/20/25 UnitedHealth Group is asking shareholders to support a $60 million stock option award for its new CEO. In a May 20 letter to shareholders, Christopher Zaetta, UnitedHealth’s chief legal officer, urged shareholders to approve the company’s executive compensation. Institutional Shareholder Services, a proxy advisory firm, has advised shareholders to vote no on UnitedHealth’s “say-on-pay” proposal. The company appointed Stephen Hemsley, who led the company from 2006 to 2017, as CEO in May. Mr. Hemsley will receive a $1 million annual salary, but will not receive any annual cash incentives. Instead, he will receive a $60 million stock option after three years as CEO. ISS recommended shareholders vote no because nearly all of Mr. Hemsley’s compensation will be in stock option awards, and fluctuations in stock price could lead to a “windfall” for the CEO. 

5 energy-boosting ways to overcome your leadership fatigue Fast Company - Mindfulness at Work; by Katharine Manning; 5/16/25 Leaders today are stretched to the breaking point. Many managers enter their roles wanting to coach and care for their teams. But in today’s workplace, that vision is colliding with a lengthening list of competing pressures: performance metrics, shifting workplace norms, and the unrelenting emotional labor of guiding teams through crisis after crisis. As one manager told me, “I want to be an empathetic leader and support my team, but we still have to make the numbers. Mostly, I just stay later myself.” Another admitted, “Last year I ended up in the hospital.” ... How Managers Can Overcome Leadership Exhaustion: ...

The best leaders ask the right questions Harvard Business Review On Leadership, Episode 110; podcast by Arnaud Chevallier; 5/14/25 Few leaders have been trained to ask great questions. That might explain why they tend to be good at certain kinds of questions, and less effective at other kinds. Unfortunately, that hurts their ability to pursue strategic priorities. Arnaud Chevallier, strategy professor at IMD Business School, explains how leaders can break out of that rut and systematically ask five kinds of questions: investigative, speculative, productive, interpretive, and subjective. He shares real-life examples of how asking the right sort of question at a key time can unlock value and propel your organization. With his IMD colleagues Frédéric Dalsace and Jean-Louis Barsoux, Chevallier wrote the HBR article “The Art of Asking Smarter Questions.”

Building an ethical culture: Leadership’s role in corporate integrity The Wall Street Journal; by Lori Pressler, Michael Rossen and Miira Velia; 5/7/25 Built from the top down, a strong ethical culture can help mitigate risk by weaving ethics into decision-making at every level. Much of the time, a single moment or lapse in judgment does not precipitate a crisis. Instead, corporate scandals tend to spring from systemic failures in corporate culture, specifically around ethics. However, within many organizations, ethics are often discussed in theoretical terms—lofty yet nebulous aspirations or nice-to-haves. ... Given its potential for harm, organizations may not be giving ethical risk the attention it deserves, particularly from the top down.