Article by Brenda Spillman, Vicki Freedman, Judith Kasper and Jennifer Wolff provides national estimates of caregiving networks for older adults with and without dementia and examine how these networks develop over time. Most prior research has focused on primary caregivers and rarely on change over time....Read More
The Common Attributes of Successful Care Manager Programs for High-Need, High-Cost Persons: A Cross-Case Analysis.
Many programs use care managers to improve care coordination for high-need, high-cost patient populations. However, little is known about how programs integrate care managers into care delivery or the attributes shared by successful programs. We used a case study approach to examine the common attributes of 10 programs for high-need, high-cost individuals utilizing a longitudinal care manager that had achieved success in reducing cost, improving quality, or increasing patient satisfaction. Through interviews with program leaders and document review, we identified 10 common attributes of successful care manager programs, offering insights for providers aiming to better serve the high-need, high-cost population.
Financial Eligibility Criteria and Medication Coverage for Independent Charity Patient Assistance Programs.
Independent charity patient assistance programs have grown rapidly since the enactment of the Medicare Modernization Act of 2003, which became effective in 2006. Between 2007 and 2016, the total amount of patient assistance granted by the 5 largest independent charities increased by 588%. Independent charity patient assistance programs must observe legal constraints on their program design and distribution of funds, and remain independent regardless of the source of their revenue....Read More
Reduced Lower Extremity Functioning Is Associated With an Increased Rate of Being a Nondriver: The National Health and Aging Trends Study
In the United States and other industrialized countries, driving is an important component of independent mobility for adults. Driving connects adults with many fundamental aspects of daily life such as employment, social engagements, and personal care. As the number of older adult drivers increases, health professionals play an important role in keeping older drivers safely on the road, for example, by providing rehabilitative and prevention services for correctable problems such as musculoskeletal strength. If the physical therapy profession is going to “transform society by optimizing movement to improve the human experience,”, it is arguable that maintaining independent and safe driving mobility is a goal for physical therapy. ...Read More
Invited commentary from Vanessa Ho, Lisa Reider and Elliott Haut in JAMA Surgery calls into question the usefulness of registries for measuring the full burden of trauma in older adults. Current registries are unable to track and forecast non-injury mortalities, highlighting a missed opportunity for quality improvement initiatives in a growing segment of the trauma population....Read More
Family and unpaid caregivers play a foundational role in the care of older adults with complex health needs and disabling conditions by assisting with a wide range of household, self-care, and medical tasks that are necessary for health, function, and community living....Read More
Medicare is a pillar of the U.S. health insurance system. But with no ceiling on out-of-pocket costs for covered benefits, a high deductible for hospital episodes, and exclusion of needed costly benefits such as dental, vision, and hearing care as well as personal care aides for the disabled, Medicare leaves its enrollees exposed to burdensome health costs unless they buy expensive supplemental coverage....Read More
Editorial by Jennifer Wolff, Emmanuel Drabo & Courtney Van Houtven in the Journal of the American Geriatrics Society accompanies Lynn Feinberg's review on Paid Family Leave to support family caregivers and legitimize family responsibilities in the workplace. ...Read More
Transplant community perceptions of the benefits and drawbacks of alternative quality metrics for regulation.
Study by Sarah Van Pilsum Rasmussen, Sheng Zhou, Alvin Thomas, Dorry Segev, and Lauren Nicholas finds one‐year patient & graft survival the most effective measure of care quality & most amenable to risk adjustment....Read More
Many older Americans in the Medicare program are at risk of incurring substantial costs from long-term services and supports (LTSS). An issue brief by Amber Willink, Karen Davis, John Mulcahy, Jennifer Wolff, and Judith Kasper using data from the National Health and Aging Trends Study (NHATS) analyzed medical and LTSS spending among older Medicare beneficiaries and the ways those costs are met. Findings suggest beneficiaries with high LTSS needs have higher Medicare and out-of-pocket spending, more medically-related credit card debt, and report trouble paying for food, rent, utilities, medical care, and prescription drugs....Read More