Apr 172015
 
Identifying Communities with Potential for Pioneering MediCaring—Suggest Yours!

By Joanne Lynn The time has come to seek Medicare’s cooperation so MediCaring Community programs can get underway in many parts of the country. These programs are as necessary to an aging society as pediatrics and obstetrics are for children and maternal care. Empowering communities to take care of their own residents who aim to […]

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Jan 262016
 

By Victoria Walker You can have a real impact this political season by connecting up with the Family Caregiver Platform Project (FCPP), which works to get caregiving issues included in as many state party platforms as possible. The pace of political activity is already breathtaking. Want to be part of it? Here’s how. The FCPP […]

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Jan 042016
 

By Anne Montgomery and Leslie Fried of the National Council on Aging One of the hallmarks of the 21st century—increased longevity of the population—will increasingly drive federal, state, and local health care programs to focus on optimizing coordination of services across a range of medical care and community services providers. Discharge planning will play a […]

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Dec 012015
 
Moving a Medicare Reform Agenda for Frail Beneficiaries: Let’s Do It

By Joanne Lynn and Anne Montgomery For a rapidly aging U.S. population, our current care system has its priorities upside down. It is calibrated to address heart disease and cancer as well as possible, with customized drugs, specialist hospital-based doctors, and 9-1-1 rapid responses. In short, we have a system that is built on the […]

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Oct 262015
 

By Anne Montgomery Centers for Medicare and Medicaid Services (CMS) has issued the long-awaited “conditions of participation” rules proposed for nursing homes. These rules signal another step in the ongoing shift in CMS toward encouraging more livable and well-supported facilities and staffing. However, since long-stay residents must consider the facility to be their home, we […]

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Oct 262015
 
Estimating the Potential Revenue from the Newer Medicare Billing Codes

By Elizabeth Rolf and Holley Stanley Physicians caring for frail elders have long complained that they cannot provide optimal care and stay in business, given how Medicare pays for services. Over the last decade, CMS has developed and implemented new payment strategies within the Fee-for-Service Medicare Physician Fee Schedule (MPFS), aiming to encourage primary care […]

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Sep 282015
 
Don’t Accept Medical Errors as the Standard of Care for Frail Elders

By Joanne Lynn, MD If you are hoping for a good night’s sleep, don’t read the stories told by Marcy Cottrell Houle of her parents’ last years of life just before you go to bed. But do read The Gift of Caring: Saving Our Parents from the Perils of Modern Healthcare [http://www.thegiftofcaring.net/], which Houle wrote […]

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Aug 252015
 

CMS gently proposes paying for advance care planning discussions between patients and physicians under Medicare. While this is certainly a good beginning, CMS coverage should encourage comprehensive care planning, not just “brink-of-death” care and not just for eventual incompetence but also for persons now incompetent and those who retain competence to the end of life […]

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Aug 242015
 
Comments on the Comprehensive Care for Joint Replacement Payment Model

By Joanne Lynn, MD CMS has issued a proposal to require all hospitals in 75 designated metropolitan areas to take on the responsibility for the related costs of hip or knee replacement surgery and 90 days after discharge from the hospital. With increasing levels of responsibility, the hospitals come to be at risk for refunding […]

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Jul 272015
 

By Anne Montgomery Around the country, people at more than 600 “watch parties” gathered to tune into a livestream of the White House Conference on Aging (WHCOA) [http://www.whitehouseconferenceonaging.gov] on Monday, July 13. Hosted by the White House in the East Wing and the Eisenhower Executive Office Building with an invited audience of about 200 attendees, […]

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