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Policy Snapshot

November 17, 2025

Federal Government Reopens, Telehealth Flexibilities Extended

After a record-breaking 40-day shutdown, the federal government officially reopened on November 12, 2025, following congressional passage of H.R. 5371, the Continuing Appropriations and Extensions Act. President Trump signed the measure shortly after it was approved by the House, ending the longest lapse i...
JAMDA

November 14, 2025

Underreporting of Pain for Short-Stay Nursing Home Residents in the Minimum Data Set 3.0?: Staff-Report, Self-Report, and the Role of Cognitive Impairment and Racial/Ethnic Identity

Previous studies examining biases in pain reporting among nursing home (NH) residents have excluded short-stay residents (NH stay <100 days). This study of short-stay NH residents in the United States estimates pain prevalence under self-reported and staff-reported assessment in the Minimum Data Set (MD...
JAMDA

November 13, 2025

An Explicit Live Discharge Protocol for Hospice-Initiated Live Discharges

Hospice-initiated discharges, or those not requested by patients or caregivers, are distinct from voluntary disenrollment from hospice because they often occur without adequate preparation. Hospice patients who have stabilized and been deemed no longer terminal can disrupt continuity of care, leaving patie...