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Achieving Value in Medicaid Home- and Community-Based Care: Considerations for Managed Long-Term Services and Supports Programs

Funder: West Health Policy Center Author: Michelle Herman Soper, Center for Health Care Strategies; Debra Lipson, Mathematica Policy Research; Maria Dominiak, Airam Actuarial Consulting; and James Lloyd, Center for Health Care Strategies September 2018 | Toolkit States are increasingly adopting value-based payment (VBP) models to tie payment to outcomes including quality of care, health status, and costs for… Read more »

Serving Adults with Serious Mental Illness in the Program of All-Inclusive Care for the Elderly: Promising Practices

          Funder: West Health Policy Center Author: Logan Kelly and Nancy Archibald, Center for Health Care Strategies, and Amy Herr, West Health Policy Center September 2018 | Brief The Program of All-Inclusive Care for the Elderly (PACE) provides medical care and long-term services and supports (LTSS) to more than 45,000 adults age 55 and… Read more »

Association Between Physical Therapy in the Emergency Department and Emergency Department Revisits for Older Adult Fallers: A Nationally Representative Analysis

  Adriane Lesser MS, Juhi Israni MS, Tyler Kent, Kelly J. Ko PhD First published: 21 August 2018   Abstract Objectives To determine whether providing physical therapy (PT) services in the emergency department (ED) improves outcomes for older adults who fall. Design We used Medicare claims data to examine differences in recurrent fall‐related ED revisit rates of older adults… Read more »

Care for the Older Adult in the Emergency Department

Introduction The convergence of several forces is creating an opportunity to dramatically improve care for older adults in the emergency department (ED), which in turn has the potential to create benefits in the US health care system for everyone. These forces include demographic changes, a shift toward value-based health care, and the emergence of individual… Read more »

Systems-Based Practice to Improve Care Within and Beyond the Emergency Department

Marsha Vollbrecht, MS, CSW, Kevin Biese, MD, MAT Susan Nicole Hastings, MD, MHS, Kelly J. Ko, PhD, Laura Ann Previll, MD, MPH KEYWORDS • Emergency department • Care transitions • Geriatric• Culture change • Implementation science • Leadership buy-in • Alternative approaches KEY POINTS • There is abundant evidence that an emergency department (ED) visit… Read more »

Providing Home- and Community-Based Nutrition Services to Low-Income Older Adults: Promising Health Plan Practices

Funder: West Health Policy Center Author: Stephanie Gibbs, Center for Health Care Strategies and Amy Herr, West Health Policy Center April 2018 | Brief State Medicaid agencies and Medicaid health plans increasingly recognize the importance of social support services, including nutritious food, as part of a holistic approach to addressing the needs of low-income older adults and… Read more »

Delirium as a predictor of mortality in US Medicare beneficiaries discharged from the emergency department: a national claims-level analysis up to 12 months

Juhi Israni, Adriane Lesser, Tyler Kent, Kelly Ko Abstract Background Delirium is common among seniors discharged from the emergency department (ED) and associated with increased risk of mortality. Prior research has addressed mortality associated with seniors discharged from the ED with delirium, however has generally relied on data from one or a small number of… Read more »