Hospice News

FEBRUARY 20, 2024

Even more so, specific Medicare and Medicaid policies perpetuate this cycle. In the study, researchers present the case of an independent 87-year-old woman with moderate dementia admitted to the hospital with pneumonia. After exhausting her Medicare benefits, she depleted her assets and paid out of pocket until qualifying for Medicaid.

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GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Eric: Does Medicare generally cover driving rehab specialists?

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GeriPal

APRIL 13, 2023

We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. This paper was published recently in the Journal of American Geriatric Society Lead. Welcome back to the GeriPal podcast.

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GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren.

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GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

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GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: Yeah.

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GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Sarguni: And I think the inadequacies of the Medicare hospice benefit really come into play here because a lot of times people are not sure if they want to get more cancer treatments. That’s the problem.

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GeriPal

FEBRUARY 9, 2023

So the amount of dollars per Medicare beneficiary in the last six months of life varies more than twofold from one region of the country to the other region of the country. And we’ve accrued over a hundred different clinicians and we analyzed their language when presenting treatment options. Thanks everybody.

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GeriPal

OCTOBER 19, 2023

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. People who just want to default treatment.

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1-800-HOSPICE

JANUARY 18, 2022

On the other hand, the trend of more Americans dying at home also presents challenges for families that we may have not seen for a century. In 1984, there were only 31 Medicare-certified home hospice agencies. Additionally, Medicare pays 100% for home hospice with no copays or deductibles. Bereavement Services. References.

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GeriPal

JULY 6, 2023

Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.

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Home Care Pulse

JULY 25, 2023

Medicare doesn’t hurt palliative care services. We look for creative ways, but hospice has its own reimbursement source through Medicare. I, I think people are a lot more open to that idea of somebody who’s not healthcare affiliated being present. That’s how I see the main difference. What do you think Barbara?

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GeriPal

JULY 13, 2023

And we had the date, if it was present in the EHR, to provide that context for the clinician. They’re associated with about 90% of deaths in the Medicare population. And when we presented it to the DSMC, which Alex was a member too, but we thought it was nice. POLST advanced directives, what am I forgetting?

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GeriPal

DECEMBER 21, 2023

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.” ” You know?

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GeriPal

SEPTEMBER 14, 2023

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. She trained at UCSF, for geriatrics fellowship. It was a fantastic opportunity for us to understand what this would look like under Medicare. Annals of Int Med.

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