Tag: advance care planning

MediCaring Communities: Getting What We Want and Need in Frail Old Age at an Affordable Cost

MediCaring Communities: Getting What We Want and Need in Frail Old Age at an Affordable Cost Published June, 2016 194 pages, 6″ x 9″ (15.24 x 22.86 cm) ISBN-10: 1481266918 List Price $9.95 at Amazon.com Americans want a long life and most of us will get to live into our 80’s and beyond, but we

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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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Comments on Payment for Advance Care Planning

CMS gently proposes [2015] 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

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Purchasing Value – Not Yet Right for Medicare’s Frail Elders

By Joanne Lynn In late January, Department of Health and Human Services Secretary Sylvia Matthews Burwell announced that Medicare would purchase most services on the basis of value rather than volume, aiming for 90% of fee-for-service payments by 2018 [http://www.hhs.gov/blog/2015/01/26/progress-towards-better-care-smarter-spending-healthier-people.html]. Of course, paying on the basis of value is much better than paying on the

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Resources for Advance Care Planning include Handbook for Mortals

Handbook for Mortals cover

The following post first appeared on March 27 as “New Chapters” via http://www.mydirectives.com.  Starting productive conversations with your loved ones about your life decisions is not always easy. It takes a great deal of strength and initiative to take that first step. One of the best ways to take initiative is to find inspiration, so

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