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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. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. Anne: Right. Why are they doing this?

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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

More and more people are choosing to die at home. However, by 2017, home surpassed hospitals, nursing homes, and every other place as the most common place of death. In 1984, there were only 31 Medicare-certified home hospice agencies. 2008 Nov;98(11):2092-8. Bereavement Services. Family Caregivers.

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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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