Category: Medicare

Workable Financing of Eldercare: The Window is Closing

Doctor Joanne Lynn

By Joanne Lynn Within just a dozen years, the U.S. will have nearly double the current number of frail and disabled elderly people needing daily supportive services. Look around! What is being done to prepare for this expectable increase? Already most cities have long waiting lists for home-delivered meals, and no city in the U.S.

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Community-based Health Organizations – An Innovation Path for Supportive Services

Picture of Anne Montgomery

By Anne Montgomery Time is growing short to make big changes to basic processes for service delivery to elders, who will soon constitute one-fifth of the U.S. population. Basically, we have a mismatch between the health care delivery system and what many older adults actually need. Typically, older adults typically see multiple clinicians working in

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The April 2019 CMMI Proposals for Innovative Payment Models

Portrait of Dr. Joanne Lynn

By Joanne Lynn May 7, 2019 CMMI has announced that they will soon call for proposals for a bevy of new payment models, aiming to reduce hospitalization without harming quality by allowing a great deal of flexibility by practicing primary care clinicians for Part A and Part B services in Medicare and by allowing contracting

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A New Focus on Supports in Medicare – Supplemental Benefits 2020

Portrait of Dr. Joanne Lynn

By Joanne Lynn “Starting in 2020, we are going to be expanding that range of [Medicare Advantage] benefits…to include home modifications, home-delivered meals, and more.” — Alex Azar, Secretary of HHS [The Root of the Problem: America’s Social Determinants of Health, November 14, 2018, as prepared for delivery] Aha! Medicare leadership is awakening to the

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Measuring Performance of a Community’s Elder Care System

Portrait of Dr. Joanne Lynn

By Joanne Lynn Most of us now reading this will get the extraordinary privilege of being able to live into old age. For nearly all of human history, few people lived to be old, and even fewer lived long with serious disabilities. Now, most of us will have a substantial period of increasing disability at

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Comments on the The Nursing Home Conditions of Participation Proposal

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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Sixth White House Conference on Aging: Now It’s Time to Do More. A Lot More.

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, 2015. Hosted by the White House in the East Wing and the Eisenhower Executive Office Building with an invited audience of about 200

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Paying The Price: Frailty is an Expensive Phase of Life

As millions of Americans reach old age, millions will experience the frailty that accompanies that time phase of life. And that price, really, can be a sticker shock when writ large over the lives of millions. People over the age of 65 account for a fair amount of the nation’s healthcare costs. For example, 13%

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The ElderBoard: Managing Care for Frail Elders

Health planning has been a long-running theme in American health policy, dating back to the 1940s. Seen by its advocates as a movement, such planning aimed to make widely available coordinated health facilities and services, especially hospitals. It also aimed to foster the orderly and efficient development of hospitals in order to meet each community’s

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Multidisciplinary Teams and Holistic Care for Frail Elders

 For most of us, for most of our lives, healthcare involves doctor visits for routine and acute care, and sometimes visits to specialists when dealing with complex or advanced illness. To be sure, many of us also find health and healing beyond the walls of a clinic or the contents of a medicine cabinet—attention to

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