Recent shifts in government policy are creating uncertainty in the hospice sector, particularly concerning health equity. Hospice executives warn that the rollback of diversity, equity, and inclusion (DEI) initiatives could exacerbate health disparities among underserved patient populations. Victor Couzens, CEO of Mahogany Home Health and Hospice, expressed concerns at the Hospice News ELEVATE conference in Florida, noting that these changes might increase mistrust in the healthcare system and alienate those who need hospice care the most.
The establishment of the Department of Government Efficiency (DOGE) has focused on eliminating federal DEI programs and reducing government spending. This move, coupled with executive orders aimed at terminating DEI policies, poses significant challenges for hospice providers. Alicia Bloom, senior vice president of operations at Empassion Health, highlighted the progress DEI programs have made in improving access and awareness of end-of-life care options. However, the new policy changes threaten to hinder these advancements.
Couzens emphasized the need for hospices to revamp their public outreach and patient engagement strategies. He advocates for forming collaborative community partnerships that include a broader range of minoritized groups. Despite the challenges, Couzens sees an opportunity for hospice agencies to demonstrate their commitment to health equity by actively engaging with their communities.
The hospice sector is at a critical juncture, where policy changes could either hinder or propel efforts to reduce health disparities. The focus must remain on ensuring equitable access to hospice care for all, regardless of racial or ethnic background.
See: “Hospices Traverse Health Equity Policy’s Uncertain Future” (May 9, 2025)
