Quality Gaps Among Nursing Homes Likely To Grow if Medicaid is Cut

"It's very likely that if Medicaid payment rates freeze or decline, there would be adverse effects," says Vincent Mor, a professor of health services, policy and practice at the Brown University School of Public Health. "Nursing homes that can, will get out of the Medicaid business if it's at all possible. Those that can't will try to keep their beds as full as possible and live with a negative margin — and reduce food, reduce staff and try to struggle along."

(Distributed September 29, 2017)

Evacuating frail, elderly people during a hurricane

Associate Professor David Dosa reports “Any time an older individual is exposed to a natural disaster like a hurricane, they end up having adverse events, whether that is mortality, death, or hospitalizations.” 

Professor Dosa looked at the cases of more than 36,000 nursing home residents living in areas hit by four major hurricanes: Katrina and Rita in 2005, and Gustav and Ike in 2008.

(Distributed September 13, 2017)

Improving end-of-life care begins with honoring patient preferences

Professor Susan Miller reports that when it comes to dying in the United States, the interests and inclinations of payers and providers often outweigh the needs of patients, especially when it comes to end-of-life care. Take hospice care for seniors. If Medicare beneficiaries choose hospice care, they lose Medicare coverage for disease modifying interventions, nursing home and hospital care. This isn't much of a choice for patients and certainly doesn't account for their preferences. 

(Distributed September 13, 2017)
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