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How do you ask about activity limitations - a central aspect of #geriatric care? Excellent paper from Claire Ankuda et al. JAGS doi.org/10.1111/jgs.18… To take late-life activity limitations seriously, we must clearly define the measures that value the most as we age.

Check out our new perspective in NEJM led by Claire Ankuda and Joan M Teno MD, MS about the need to take care for the seriously ill in Medicare Advantage seriously as it hits 50% of the Medicare program. nejm.org/doi/full/10.10…

🚨NEW NEJM Perspective led by Claire Ankuda Nearly half of all Medicare beneficiaries are now in Medicare Advantage, we offer three recommendations involving data transparency, quality measurement and program review to improve serious illness care in MA. nejm.org/doi/full/10.10…

As Medicare Advantage plans enroll more and more #patients with serious illnesses, it is unclear how well the plans care for these patients. Mount Sinai researchers describe the urgent need for data on the quality of care offered by the plans: mshs.co/3nGgHWd

A comprehensive approach that prioritizes improving data transparency and quality measurement could help ensure that Medicare Advantage facilitates the delivery of high-quality and equitable care. nej.md/41BiE4h

Great perspective: US Medicine does an awful job of helping older persons with disability obtain the assistance they need to maintain independence. We can pay for high tech ineffective procedures but not help with basic needs. Its a disgrace. jamanetwork.com/journals/jamai…

🚨 New paper in JAMA Internal Medicine! As a geriatrician, I have a pretty good sense of "who goes where" -- when living situations are becoming unstable or unsafe because of medical and functional issues and moving to a facility might be better. But I never saw data on it. 🧵

In this paper, we found that Medicare Advantage enrollment decisions of partners are highly correlated, with an association that dwarfs any other beneficiary or plan characteristics. @dtmaust Claire Ankuda Ernani Hoffman @GeoffreyHoffma9 U-M IHPI Michigan Medicine

Physician payment reform is in the air. So I wanted to share our paper about the Medicare Shared Savings Program. We find that the MSSP has had virtually no budget impact for CMS. ACOs are not the answer to cost containment in Traditional Medicare. tinyurl.com/32emjerw

NEW JAMA Network Open paper led by Amanda Chen What happened when star ratings were introduced for home health agencies? HHA-reported measures showed improvement but more objective measures did not, raising concern about use of HHA-reported measures jamanetwork.com/journals/jaman…

A thread about Medicare Advantage, its tendency to deny claims for post-acute care and rehabilitation for older Americans, and our new @JAGS paper. agsjournals.onlinelibrary.wiley.com/doi/full/10.11…

Trends in observation stays for Medicare beneficiaries with and without Alzheimer's disease and related dementias. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

How to Say Goodbye – an illustrated field guide to accompanying a loved one at the end of life (which we will all have to do at some point, if we are lucky) themarginalian.org/2023/07/22/how…

Minimum nursing home staffing rule will soak up lots of attention today but this new Medicaid rule "requiring providers to allocate at least 80% of home- and community-based payments to direct care worker pay" is HUGE too.

While "Everybody's trying to figure out how to improve operational efficiency", #FamilyCaregivers will be buried in expectations to provide increased levels of complex medical care w/ no reimbursement. #WhatAboutCaregivers POLITICO politico.com/news/2024/05/1…