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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. I looked up the annual Medicare spending, is about one 10th that, so it’s like 10 times the annual Medicare budget. Alex: Definitely not on amyloid drugs. Definitely putting a little bit more prep time in.

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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

By setting, so patients who are living in places like nursing homes and assisted living facilities, where it’s easier to visit very quickly patient to patient, as opposed to home-based care for people say in rural areas. Melissa: It’s definitely true that that’s the incentive under nonprofit and for-profit.

Hospice 196
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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. And I wrote a paper a couple years ago, entitled Forced to Choose: When Medicare Policy Disrupts End of Life Care. It’s Forced to Choose: When Medicare Policy Disrupts End of Life Care.

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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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GeriPal Special: Hopes and Worries for Hospice and Palliative Care

GeriPal

Eric: Martha – breaking the definition for palliative care, no longer an extra layer of support. I don’t know if that’s true, but I just wanted to say that if there is this concern, this builds on what Eric was saying, this trend of equity buying hospices, buying assisted living facilities. Alex: Nursing homes.

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Ep.18: BK Books with Barbara Karnes: Why Approaching Hospice Holistically is Necessary to the Success of the Care Continuum

Home Care Pulse

I think there’s definitely a stigma that, like you said, we just all wanna be fixers and we almost don’t wanna take advantage of that, that thought that, oh, the things I did weren’t enough, or I, I wasn’t able to to really fix that person. Medicare doesn’t hurt palliative care services.

Books 72
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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

And at some point, she was living in assisted living and fell and broke her hip. And we know that a third of Medicare beneficiaries undergo surgery in the last year of life with 18% of those occurring in the last month of life. So we looked at Medicare data, we called out everything that had this 1% cutoff or higher.