integrated care

For The First Time, Traditional Medicare Will Pay To Support Family Caregivers

The federal agency that operates Medicare, the Centers for Medicare and Medicaid Services (CMS), is finally recognizing what families have known for, well, thousands of years:  Family members are the bedrock of the system of care for frail older adults and younger people with disabilities. And the agency is taking some important steps to help them. Some proposals will provide [...]

By |2023-08-23T11:35:50-04:00August 23rd, 2023|family caregivers, Medicare, Uncategorized|0 Comments

The Heated Battle Over Whether Medicare Advantage Should Offer Personal Services

The Trump Administration and a bipartisan majority in Congress have moved to allow Medicare Advantage managed care plans to offer a wide range of personal services such as home delivered meals,   transportation, and bathroom grab bars—to members who need them. This would be a sea change in the way Medicare has supported older adults with chronic conditions for the past [...]

By |2018-07-29T17:16:10-04:00July 27th, 2018|Medicare|2 Comments

Where Do Older Americans Die?

Increasingly, older Americans are likely to die at home, and not in a hospital. And more seniors are using hospice care as they near end of life. However, stubbornly large numbers of Medicare beneficiaries still land in intensive care units or find themselves shuttled from home to hospital and back again in their last months of life. A fascinating and [...]

By |2018-07-01T09:02:56-04:00July 1st, 2018|End of life|0 Comments

When It Comes To Helping Patients Find Social Supports, Docs Say, “Not My Job.”

A doctor diagnoses your mother with heart disease. She can no longer drive and you know she needs help with transportation to her medical appointments. You ask for advice---and get a blank stare. Or you are dismissed. A growing body evidence shows that social supports may improve the overall well-being of people with medical conditions, especially chronic illness (here and [...]

By |2018-05-21T13:35:19-04:00May 21st, 2018|Health Care|0 Comments

Today’s Massive Budget Deal Makes Big Medicare Changes

The huge two-year budget agreement reached by Congress early this morning will, for the first time, allow Medicare to pay for some long-term supports and services. Medicare managed care plans, called Medicare Advantage (MA), can now include non-medical services, such as home-delivered meals or rides to a doctor, in their benefit packages. The bill includes other changes to Medicare, including [...]

By |2018-02-09T10:51:02-05:00February 9th, 2018|Medicare|7 Comments

Medicare Spends Far More On Older Adults Who Need Personal Assistance

Want to know if an older adult is likely to use lots of medical care? Just ask if she needs help with living activities such as bathing, dressing, or getting out of bed. In a new study with important implications for both caregivers and policymakers, researchers at the Long-Term Quality Alliance (LTQA) found that Medicare spends an average of three [...]

By |2018-02-14T12:43:53-05:00October 30th, 2017|Medicare|2 Comments

How Health Systems Can Provide Better Care For Seniors

Older adults are among the biggest victims of our often disorganized, uncoordinated, and impersonal system of medical care. Backwards financial incentives encourage useless tests and dangerous hospital admissions and discourage important social support, personal assistance, and preventive care.  The result is that Medicare pays hundreds of billions of dollars for treatment that not only fails to improve the quality of [...]

By |2017-04-19T14:31:06-04:00April 19th, 2017|Health reform|0 Comments

What Happens To Long-Term Care If Trump Remakes Medicare and Medicaid

Washington is buzzing with speculation about how President-elect Donald Trump and the Republican majority in Congress will remake Medicare and Medicaid. But neither the incoming administration nor the Hill GOP is giving much thought to what those changes would mean for frail older adults and younger people with disabilities. By failing to do so, they are creating a potential crisis [...]

By |2016-12-16T14:22:22-05:00December 16th, 2016|Blog|1 Comment

How Faith Communities And Hospitals Can Work Together To Help Older Adults

Older adults with chronic illness often need a combination of medical treatment and social and spiritual supports. Together, they can make people healthier and happier, and less likely to suffer acute episodes that result in preventable hospitalizations. The medical treatment comes from doctors, hospitals, and health systems while the spiritual support comes from faith communities. And, in many cases, so [...]

By |2016-12-07T13:07:36-05:00December 7th, 2016|Aging, Health Care|1 Comment