From Health Affairs Today <[email protected]>
Subject Improving Care Quality For Adults With Dementia
Date June 7, 2022 8:01 PM
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Forefront: Latest In No Surprises Act Litigation And New Guidance
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Tuesday, June 7, 2022 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

We've launched a newsletter for Health Affairs Insiders covering the
topic of social determinants of health. Join Health Affairs Insider or
Unlimited

to sign up for the newsletter and receive additional membership
benefits.

Hospice And Dementia

Hospice is the dominant model of care for seriously ill people at the
end of life. While the Medicare hospice benefit was originally designed
around a cancer disease paradigm, it increasingly serves people living
with dementia.

Now, almost half of all older adults receiving hospice care have
dementia.

In the June 2022 issue of Health Affairs, Krista Harrison and coauthors
examine the quality of end-of-life care at the population level.

Using nationally representative data from 2011-17, the authors
determine that proxies of hospice-enrolled people living with dementia
are more likely to rate last-month-of life care as excellent compared
with proxies of people living with dementia who did not enroll with
hospice.

Harrison and coauthors observe no differences in hospice ratings when
comparing people with or without dementia.

The findings of the study present implications for policy makers when
weighing changes to hospice policy and regulations that may affect
people living with dementia.

To read the article and others like it, subscribe to Health Affairs.

Subscribe

Elsewhere At Health Affairs

Today in Health Affairs Forefront, Katie Keith summarizes the status of
the lawsuits filed by health care providers

over the No Surprises Act (NSA) and recent guidance from the Biden
administration on implementation of the law.

Richard Gilfillan and Donald Berwick discuss two critical responses to
their September 2021 Health Affairs Forefront articles on the "Medicare
Advantage Money Machine
."

James Capretta argues that reforms to Medicare's two-part trust fund
design

should ensure total Medicare expenditures are matched with sources of
funding that do not presume ever-increasing levels of federal debt.

Chris DeRienzo and Ronald Paulus write about how to define and measure
unnecessary care variation

in order to deliver patient-centered care.

Elevating Voices: Pride Month: In his March 2022 Narrative Matters
essay, Richard Sorian discusses lessons learned
from
communicating about the HIV/AIDS pandemic and current failures to talk
effectively about COVID-19.

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Podcast: Ateev Mehrotra Shines A Light On Indirect Billing

Ateev Mehrotra from Harvard Medical School and Beth Israel Deaconess
Medical Center joins A Health Podyssey to discuss how we bill for nurse
practitioner and physician assistant services and the implications of
those practices.

Listen Here

Daily Digest

Hospice Improves Care Quality For Older Adults With Dementia In Their
Last Month Of Life

Krista L. Harrison et al.

Latest In No Surprises Act Litigation And New Guidance
Katie
Keith

The Emperor Still Has No Clothes: A Response To Halvorson And Crane

Richard Gilfillan and Donald M. Berwick

Medicare's Supplementary Medical Insurance Fund: A Growing Burden On
Taxpayers

James C. Capretta

Increasing Necessary Care Variation To Improve Patient Care

Chris DeRienzo and Ronald Paulus

Surviving Two Pandemics

Richard Sorian

Podcast: Ateev Mehrotra Shines A Light On Indirect Billing

Alan Weil and Ateev Mehrotra

 

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mailto:[email protected]

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