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In 2011, two-thirds of beneficiaries (66%) had three or more chronic conditions, more than one quarter of all beneficiaries (27%) reported being in fair or poor health, and just over 3 in 10 (31%) had a cognitive or mental impairment. (Figure1). Nearly one in six beneficiaries (17%) were under age...
In a large cohort study published in JAMA Internal Medicine, hospice visits in the last 2 days of life by professional staff varied by race, hospice program, and geographic region, with visits less likely if the patient was black, dying on a Sunday, or receiving care in a nursing home. These...
CMS announces an initiative to bring interoperable technology to a broader universe of health care providers, including long-term care, behavioral health providers, substance abuse treatment centers, and other providers that have been slower to adopt technology. The announcement will help to...
Over the next 40 years, the number of elderly US residents with a severe need for long-term services and supports (LTSS) will increase 140% to more than 15 million. Meanwhile US adults turning 65 today can expect to incur an average if $138,000 in LTSS costs. There is a wide risk distribution...
Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 44 million people with information and resources to help them make better decisions about their health care. Their goal is to build a simpler, more integrated health care system that makes the...
Located in the Bronx and Hudson Valley, New York, Montefiore Health System (MHS) serves one of the poorest and most disproportionately disease-burdened counties in the nation with nearly 80% of the payer mix from Medicare and Medicaid. The integrated delivery system includes 10 hospitals and...
Successful care coordination programs employ a variety of tools to improve quality of care and reduce costs. To be effective, these programs must be flexible in design, implementation, and evaluation, rely on robust data sharing, incorporate patient engagement, and adapt to local needs. In...
homA team led by Dr. Jennifer L. Wolff at the Johns Hopkins Bloomberg School of Public Health set out to examine the nature and intensity of involvement that caregivers provide, and to assess how it relates to their health and function. The researchers analyzed data from more than 1,700 family and...
CMS has proposed changes to its risk adjustment model to address underpayments for certain low-income Medicare beneficiaries (“dual eligibles”), who tend to have higher healthcare costs than other enrollees. As a result of differences in how states cover dual eligibles, the changes could increase...
Congressional approval of H.R. 4994, the IMPACT Act in October 2014, mandates the development and implementation of a standardized post-acute care assessment tool, and paves the way for effective payment reforms. The IMPACT Act: What’s Ahead  Preventable Readmission Measures CMS has...
Over the past twenty years I have made over 31,000 house calls to more than 4,000 home-limited patients (patients with difficulty leaving their homes). House calls markedly improve the quality of life of home-limited patients and their caregivers while dramatically reducing health care costs. With...
12 million of 16 million older adults who had difficulties with daily activities received limited or no home-based care. In 2011, the GAO analyzed 2008 data and found that approximately 9 percent of low-income older adults received meals like those provided by Title III programs (an estimated 1.6...

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