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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.
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.
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%
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.
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.
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.
Advocate for the CONNECT for Health Act, which would permanently expand access to telehealth for Medicare beneficiaries: [link] Much more on this podcast, including puzzling out who the characters in Space Oddity by David Bowie might represent in an extended analogy to telehealth. Alex: Hope so. Alex: And that was during the pandemic.
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