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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Our task is simple, we are going to be sampling each of these hot chicken wings while we ask Eric and Alex questions related to Palliative care and Geriatrics. I’m most proud that when we started the blog, there was some tension between Geriatrics and Palliative care. They’ve all been laid out for you. Anne: Right.

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Why Patients with Lymphoma Are Less Likely to Receive Hospice

1-800-HOSPICE

2 Researchers analyzed Medicare records for 18,777 patients who died with indolent non-Hodgkin lymphoma (NHL), aggressive NHL, or mantle cell lymphoma. Compared to all Medicare beneficiaries who died with cancer, patients with lymphoma proved 23% less likely to receive hospice, and they tended to have fewer days in hospice.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

And I learned, so you have this wonderful paper that just came out in JAGS, Journal of the American Geriatrics Society, titled Patients Living with Dementia Have Worse Outcomes When Undergoing High-Risk Procedures. So we looked at Medicare data, we called out everything that had this 1% cutoff or higher. Joel may know. Joel: Yeah.

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How Hospice Supports Families

1-800-HOSPICE

In 1984, there were only 31 Medicare-certified home hospice agencies. Additionally, Medicare pays 100% for home hospice with no copays or deductibles. Medicare-certified hospices also provide at least six months of bereavement support. In: Huria A, Balducci L, editors: Geriatric Oncology: Treatment, Assessment, and Management.

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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

Lauren: And looking in the Medicare data, you cannot figure out when a hospice changed ownership. They’re really excellent, and if I have any complaint about them at all, it’s that they could have been issued in 2008, 2009. But we are still laboring under this Medicare benefit. Overall it was 3.1%

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Addressing The Range of Patient Beliefs About COVID-19

Pallimed

In winter 2008 after President Obama was first elected, I saw a woman in clinic who said she was disappointed by the election result. But through a mixture of trust built on our relationship and exploring her underlying concerns, I think she ultimately listened to my reassurance that she would not lose her Medicare.

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