News, Notes, and Opinions from Michigan about the progress of choice-based long term care
Wednesday, January 31, 2007
Intel Announces Research Initiative With IDA Ireland To Allow Older People To Remain Independent, Longer
Center To Advance Palliative Care Launches New Web Site
Center To Advance Palliative Care Launches New Web Site
CMS Proposes Increase In Medicare Reimbursements For Long-Term Care Hospitals
Statehealthfacts.org Updates Information On Medicaid, SCHIP Programs, Medicare Part B
Monday, January 29, 2007
Smart House For People With Dementia
Questions arise over Medicaid waiver program
"The program is more successful than we thought it would be," said Patrick Flood, commissioner of the Vermont Department of Aging and Disabilities. The costs to run the program have turned out to be lower than expected when the budget was drawn up last year, and that money can be used for other needs, Flood said
Michigan set to focus on helping an expanding elderly population
But spending time in nursing homes talking about identity theft has opened the state attorney general's eyes to the problems facing seniors, whose ranks will soon swell with baby boomers.
"I want to get the office prepared for the demographics of Michigan and where we're headed," he told The Associated Press in a recent interview. "Our challenge is, 'What ways do we get better at serving an aging Michigan?' "
Role Of Anesthetics In Alzheimer's Disease
Saturday, January 27, 2007
People with Disabilities Transition to Community Settings
After a required planning phase, a new "Money Follows the Person" grant will help 900 people with disabilities go from living in nursing homes and institutions to living in the community.
The Nebraska Health and Human Services System (HHSS) will receive $202,500 the first year to develop a statewide long-term care plan, and will receive a total of $27,538,984 over five years to develop community services for individuals with disabilities. Nebraska is one of 17 states to receive this grant from the Centers for Medicare and Medicaid Services (CMS).
Progression Of Alzheimer's Disease Slowed By Learning
Friday, January 26, 2007
States Get Federal Backing To Build More Efficient, High Quality Medicaid Systems, USA
States will use the funds to implement innovative systems to get more value out of the money they spend providing health care to their low-income elderly, children and disabled citizens.
Statement from Mark Kissinger, President, Home Care Association of New York State
A System In Need Of Change -- Restructuring Payment Policies To Support Patient-centered Care
"A System in Need of Change: Restructuring Payment Policies to Support Patient-Centered Care" offers a series of nine recommendations to address inadequacies in the current Medicare physician payment and delivery system.
Thursday, January 25, 2007
U.S. Seniors' Debt Increasing Amid Rising Health Care Costs, Employer-Sponsored Health Benefits Cuts
Bill aims to give people choices on long-term care
Because of her disability, she needs considerable help, which she gets from homemaking services through the local senior center as well as Meals on Wheels. The Independent Living Program pays mileage to anyone who drives her anywhere.
Agitated Behavior In Dementia Significantly Reduced By Regular Acupressure
Researchers at the National Yang-Ming University in Taiwan found that providing 15-minute treatment sessions twice a day for five days a week yielded considerable benefits, including reductions in verbal and physical attacks and wandering.
Wednesday, January 24, 2007
Medicare, Social Security Obligations Could Harm Future U.S. Economy, Federal Reserve Chair Bernanke Says In Senate Testimony
Tuesday, January 23, 2007
Elderly's Ability To Manage The Cold May Be Due In Part To Some Aging Processes Of The Body
Hospitality Industry Incorporates Health Care Into Its Products
Can LTC on a cruise be far behind?
Pooling Resources Best Choice For Future Long-Term Care, Op-Ed States
Saturday, January 20, 2007
Seniors, Democrats ask: Must drugs be so costly?
The pharmaceutical industry says it plows profits back into research and development, but some question that argument. Drug manufacturers receive the bulk of a drug's retail price , said Stephen Schondelmeyer , a University of Minnesota researcher who tracks drug pricing. Such branded drug makers as Pfizer Inc. spend, on average, 30 percent of that to cover manufacturing, shipping, and distributing products, he says, quoting federal government research. They devote roughly 13 percent to research and development that can lead to new therapies and expanded uses for existing drugs. Six percent pays for taxes and such expenses as defending against product liability lawsuits.
But they spend 31 percent on such administrative expenses as sales and marketing.
A Government Accountability Office report released last month said the drug industry's spending on prescription drug advertising grew twice as fast as research and development spending. The GAO found that costly advertising contributed to increases in drug spending.
LTC Reform from Elderweb
Friday, January 19, 2007
Folic Acid Increases Mental Agility In The Elderly
This is the conclusion of a Dutch study to be published in the Lancet.
Bush Administration Acknowledges Proposed Medicaid Rule Would Reduce Funding For Rural Hospitals, Nursing Homes
Thursday, January 18, 2007
Bias in Long-Term Care Favors Nursing Homes, Government
Bias pervades America's long-term care (LTC) service delivery and financing system.
The system is biased in favor of nursing home care--which Medicaid pays for but which most people would rather avoid. It is biased against home- and community-based care--which Medicaid is much less likely to pay for, but which most aging Americans prefer when they require LTC.
Perhaps most importantly, LTC in the United States is biased toward public financing (Medicaid and Medicare) and against private financing alternatives such as long-term care insurance (LTCi) and home equity conversion.
Wednesday, January 17, 2007
Relationship Between Delirium And Dementia
Delirium is an acute confusional state, a common and serious complication in older individuals that often follows surgery or serious illness. Sometimes accompanied by disorientation, paranoia and hallucinations, delirium develops in 14 to 56 percent of all hospitalized seniors, complicating hospital stays for over 2.5 million older individuals in the U.S. each year.
Tuesday, January 16, 2007
Kaiser Daily Health Policy Report Rounds Up Health Issues in State of the State Addresses
New Hampshire: In his Jan. 4 speech, Gov. John Lynch (D) said the state should help seniors stay in their own homes and communities "not with arbitrary rules, or by making it difficult for eligible seniors to receive Medicaid," but rather by "ensuring that there is the community care available" to give them "quality care and respect." Lynch said he would make health care more affordable and accessible by adopting new technologies, noting that New Hampshire is the first state to institute "an aggressive timetable" -- October 2008 -- for enabling all health care providers to write prescriptions electronically. "Electronic prescribing will reduce medical errors, save lives and save tens of millions of dollars a year in health care costs," he said. Lynch also said the state "must act to expand [the] children's health insurance program this year" (Lynch speech text, 1/4).
North Dakota: In his Jan. 3 speech, Gov. John Hoeven (R) said that the state will "continue to enhance quality services for the people who need them most" by providing "Medicaid funding for low-income individuals, persons with disabilities and seniors to ensure they have access to quality health care." In addition, Hoeven said he would provide "support for long-term care, and also for home- and community-based care" (Hoeven speech text, 1/3).
Virginia: In his Jan. 10 speech, Gov. Tim Kaine (D) said he will work to promote preventive health programs. Kaine also said the state must work with health care providers to increase transparency and put more focus on health care quality and patient safety "to enhance the quality and consistency of care we receive for our medical dollar [and] encourage a more cost-effective use of the system." In addition, Kaine said he has established a Health Reform Commission to identify and address "the growing demand for long-term care services without bankrupting the state treasury." He also noted that he has included start-up funds in his fiscal year 2007-2008 budget for a proposal that would create a "more integrated system of acute and long-term care for the elderly" (Kaine speech text, 1/10).
Wyoming: In his Jan. 10 speech, Gov. Dave Freudenthal (D) said there is a "set of proposals that will be submitted" to the state Legislature "intended to help address the elderly and the citizens who have some of the toughest health problems that we deal with." He said the state will work to adopt "strategies to try to keep [the elderly] in their homes," rather than in nursing homes. Freudenthal noted a proposal to fund high-risk insurance pools, which he said would lower rates for individuals struggling to obtain insurance. He said that expanding coverage within the pool would cost an estimated $5 million, adding, "if we don't make this high-risk insurance pool work, we sooner or later are going to pick these folks up on Medicaid or any other number of programs, but by the time we pick them up, we will have made them essentially impoverished" (Freudenthal speech text, 1/10).
Monday, January 15, 2007
Medicaid not financially viable: Commission
Friday, January 12, 2007
Cape Care outlines its strategy
For more information, go to www.capecare.info.
AARP spends day at Capitol
Many also wore “Choices in Care” buttons or held “No Payday Loans” signs because the AARP Arkansas Day at the Capitol gave members throughout the state a chance to raise awareness and voice support for House Bill 1036 (fines for abusive payday lending) and a House bill to create options counseling for long-term care, and opposition to shielding nursing homes from liability for abuse and neglect, also known as “tort reform.”
Clostridium Difficile-Associated Disease In The Long-Term Care Setting
Commonly seen in residents of LTCFs, it is urgent that medical directors, consultant pharmacists, and registered nurses who work in these facilities learn about the changing epidemiology of Clostridium difficile-associated disease (CDAD), the epidemic strain of C. difficile, and the characteristics of patients with CDAD, especially the markers associated with more severe disease.
Thursday, January 11, 2007
Toolkit Discusses Methods For Reducing Racial, Ethnic Health Disparities Among Medicaid Managed Care Beneficiaries
How penalty funds are used nationally in Nursing Home Care
Wednesday, January 10, 2007
Caregiving For Those At End Of Life Rewarding Despite Challenges, Survey Finds
Tuesday, January 9, 2007
Kaiser Daily Health Policy Report Highlights Recent Medicaid Developments In Florida, Minnesota
Monday, January 8, 2007
NEJM Commentary Discusses Democrats' Agenda; Report Examines Prescription Drug Supply Chain; Health Spending Among Higher-Income Countries Analyzed
Medicare Prescription Drug Plan Beneficiaries Experience Less Difficulty In Program's Second Year, Health Officials, Senior Representatives, Pharmacis
End-Of-Life Care: Bioethical Perspectives And Conflict Resolution
Saturday, January 6, 2007
Insomnia In Older Patients Neglected: Treatment Could Improve Mental And Physical Health
That's the finding of new research from the Feinberg School of Medicine at Northwestern University.
Friday, January 5, 2007
Kaiser Daily Health Policy Report Highlights Medicaid News In New Jersey, Virginia
Thursday, January 4, 2007
State program offers long-term care aid
Medicare Prescription DrugBenefit Enrollment Deadline Will Be Extended For Seniors Who Did Not Receive Timely Information About Their Current Coverage
Nursing homes have three years to add sprinklers
Nursing homes in New Jersey will be required to have automatic sprinklers under an amendment to the state's Uniform Fire Code.
The rule went into effect Tuesday, said Department of Community Affairs Commissioner Susan Bass Levin.
Final CMS Rules on Seclusion and Restraint
Cost Of Caring For Elderly Parent Affecting Retirement For Baby Boomers
Use Of Online Social Networks To Discuss Medical Conditions Increasing
States Becoming More Aggressive In Medicaid Estate Recovery Programs
The Christian Science Monitor last week examined how federally mandated Medicaid estate-recovery programs "have produced confusion, anger and even lawsuits." According to the Monitor, some states are becoming more aggressive in claiming Medicaid beneficiaries' estates after their deaths. States often "target the home because it's all that's left after beneficiaries have spent their assets to pay for nursing home care," the Monitor reports.
Wednesday, January 3, 2007
AARP Applauds Governor's Outline for Rx and Long-Term Care Reform
Today, in his first State of the State, Governor Spitzer has set the goals of changing the way New York State buys its prescription drugs and reshaping our approach to long-term care. AARP applauds him for these initiatives.
AARP is encouraged by the Governor's plan to allow New York State to better utilize its bargaining power to get lower prices on prescription drugs as a critical move towards curtailing drug costs.Wall Street Journal Examines HIPAA Loopholes
President Bush Signs Bill To Provide $289M For Respite Care Volunteer Training, Other Services
Tuesday, January 2, 2007
Florida Lawsuit Highlights Problems With Do No Resuscitate Orders
Monday, January 1, 2007
Report Profiles Medicaid Beneficiaries With High-Cost Medical Needs
Indiana University Pursues Dementia Research With Fourth NIH Center Grant
The NIH-funded Alzheimer disease centers are comprehensive programs that foster interdisciplinary research for the prevention, diagnosis and treatment of Alzheimer disease and other dementias. Health-care delivery and other support services for patients and their families are part of the centers’ focus.
There are 29 NIH-funded Alzheimer disease centers in the United States.
Non-Drug Treatments For Dementia Show Promise, Experts Say
"The latest research suggests that mental training and physical activity both have promise for preventing declines in cognition," said Sally A. Shumaker, Ph.D., lead author on the editorial. "It's possible to envision a future treatment approach that combines lifestyle and drug treatments to meet the specific needs of each individual."