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The Roger C. Lipitz Center for Integrated Health Care

Keyword: elderly

Change Over Time in Caregiving Networks for Older Adults With and Without Dementia

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.

Thurber EGBoyd CLeff BWolff JAnderson G


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.

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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

The True Outcomes of Geriatric Trauma—If We Do Not Count Them, We Will Never Know

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

Redesigning Medicare to Work for Everyone

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

The Financial Hardship Faced by Older Americans Needing Long-Term Services and Supports.

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