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JAMDA
October 28, 2016

Multimorbidity, defined as the coexistence of two or more chronic conditions, is highly prevalent among older adults.1 Because the risk of cardiovascular disease (CVD) increases with age, older adults are more likely to have multiple CVD-related chronic conditions. Physical activity (PA) is an effective intervention to improve the prognosis of most types of CVDs2 and is a core component of CVD rehabilitation programs. However, the effect of PA on health outcomes in the multimorbid elder is mostly unknown.

JAMDA
October 27, 2016

Advance knowledge about the characteristics of nursing home residents admitted directly from home.

Spotlight
October 21, 2016
“We have to deal with many issues, such as state and federal regulations, that we weren’t taught in school. Those who practice in this field and yet don’t actively participate in the Society are missing out on a great opportunity. We desperately need the Society’s leadership and expertise in the matters of regulations, advocacy, and public policy, and its guidance to navigate the ever shifting paradigm of health care delivery in this care setting," says Rajeev Kumar, MD CMD, FACP. “When I talk to other clinicians, they are barely aware of recent changes in health care and have made little to...
Policy Snapshot
October 21, 2016

On October 14, the Centers for Medicare & Medicaid Services (CMS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program (QPP). The new QPP will gradually transform Medicare payments for more than 600,000 clinicians across the country.

The final rule centers payments around the care that is best for the patients, providing more options to clinicians...

Policy Snapshot
October 21, 2016

On October 13, the Centers for Medicare & Medicaid Services (CMS) announced a new initiative to improve the clinician experience with the Medicare program. As delivery system reforms from the Affordable Care Act and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) are implemented, this new long-term effort aims to reshape the physician experience by reviewing regulations and policies to minimize administrative tasks and seek other input to improve clinician satisfaction. The initiative will be led by senior physicians within CMS who will report to the Office of the...

Policy Snapshot
October 21, 2016

On October 17, the Centers for Medicare & Medicaid Services (CMS) announced the Comprehensive Primary Care (CPC) initiative’s second round of shared savings results, with nearly all practices (95 percent) meeting quality of care requirements and four out of seven regions sharing in savings with CMS. These results reflect the work of 481 practices that served over 376,000 Medicare beneficiaries and more than 2.7 million patients overall in 2015.

During 2015, its second...

Policy Snapshot
October 21, 2016

Thursday, October 27 from 1:30 to 3 pm ET

To register or for more information, visit MLN Connects® Event Registration. Space may be limited, register early.

During this call, learn about the final rule to reform the requirements for long-term care facilities. These requirements are the federal health...

JAMDA
October 15, 2016

Multimorbidity and polypharmacy may cause major problems in older people. Patients older than 65 years of age may take five or more drugs in 44% (male) and 57% (female) of cases and 10 or more drugs in 12% of cases.1 Critical amendment of medications is important to avoid adverse drug reactions (ADRs) (this incidence clearly rises with age by 3% per year2) and yet treat the patient efficiently according to his or her individual needs. However, the detailed analysis and fitting of, for example, 15 drugs in a patient seen by a general practitioner within the allotted consulting time (8 min...

Policy Snapshot
October 14, 2016

Thursday, October 27 from 1:30 to 3 pm ET

To register or for more information, visit MLN Connects Event Registration. Space may be limited, register early.

During this call, learn about the final rule to reform the requirements for long-term care facilities. These requirements are the federal health...

Policy Snapshot
October 14, 2016

Last week, the Government Accountability Office (GAO) publicly released their report on skilled nursing facilities (SNF) where they were asked to provide information on how SNFs spend their Medicare and other revenues. GAO examined the extent to which the expenditure data the Centers for Medicare & Medicaid Services (CMS) collects from SNFs and provides to the public are accessible and reliable, how SNF costs and margins vary by facility characteristics, and how SNF nurse staffing levels vary by facility characteristics and the relationship between SNF nurse staffing levels and margins...