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JAMDA
May 31, 2019

Multimorbidity, sarcopenia, and chronic musculoskeletal pain (CMSP) are common in the older adult population. Each is associated with adverse health outcomes, such as functional decline, frailty, loss of independence, reduced well-being and health-related quality of life, hospitalization, and mortality.1–3 The simultaneous presence of all 3 conditions among older individuals may have important prognostic and health care use implications.

JAMDA
May 31, 2019

Despite the positive effects of regular physical activity on health, the majority of nursing home residents spend most of their time inactive.1,2 So far, little data is available as to whether physical activity programs, organized in the form of exercise classes, increase weekly energy expenditure (WEE) of residents. It is possible that the increased energy expenditure observed during exercise classes is canceled out by reduced physical activity during the rest of the week. This study aimed to compare the WEE generated by physical activity of nursing home residents involved in group...

Spotlight
May 30, 2019

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Society Treasurer Jeffrey Nichols, MD, CMD, is widely known for his popular “Dear Dr. Jeff “column in Caring for the Ages. However, he is more than that--much more. He currently is chief medical officer at the Gouverneur Skilled Nursing Facility in New York City....

Health Policy
May 30, 2019

During a hearing on Protecting Patients from Surprise Medical Bills, the Society—through its membership in the National Observation Stays Coalition—recently urged members of the House Ways and Means Health Subcommittee to take note how surprise billing affects Medicare patients in the hospital who are classified at observation status. “Although the medically necessary care they need and receive is no different from the medically necessary care provided to formally admitted...

Health Policy
May 30, 2019

On May 28, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to update and modernize the Programs of All-Inclusive Care for the Elderly (PACE). PACE provides comprehensive medical and social services to certain frail, elderly individuals who qualify for nursing home care but, at the time of enrollment, can still live safely in the community. The majority of participants are dually eligible for both Medicare and Medicaid.

The final rule revises and updates the requirements for the PACE program under Medicare and Medicaid, including:

  • Strengthening
  • ...
Health Policy
May 30, 2019

Recently the Centers for Medicare & Medicaid Services (CMS) released its final rule on Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses. These changes will ensure that patients have greater transparency into the cost of prescription drugs in Part D and will also enable Medicare Advantage plans to negotiate better prices for physician-administered medicines in Part C.

Part D Protected Classes

Current Part D policy requires sponsors to include on their formularies all drugs in six categories or classes...

Health Policy
May 30, 2019

The Centers for Disease Control and Prevention (CDC) is raising awareness of the risk to patient health and safety due to misapplication of the opioid guideline for chronic pain.  Please read the recent commentary in the New England Journal of Medicine, where authors of the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain advise against misapplication of the guideline that can put patients’ health and safety at ...

JAMDA
May 27, 2019

The Authors wish to make a correction to their article published in JAMDA (https://doi.org/10.1016/j.jamda.2017.11.002) “A Randomized Controlled Study Comparing a DPP4 Inhibitor (Linagliptin) and Basal Insulin (Glargine) in Patients with Type 2 Diabetes in Long-Term Care and Skilled Nursing Facilities: Linagliptin-LTC Trial”.

JAMDA
May 27, 2019

This study explored the process of care for persons living with dementia (PLWDs) in various care settings across a tertiary care system and considers challenges and opportunities for change.

JAMDA
May 27, 2019

Declining cognitive abilities in people with dementia (PwD) complicate communication and decision making,1 particularly at end of life. These circumstances lead to insecurity among physicians about end-of-life decisions (ELDs) and preferences of PwD. ELDs entail a range of medical decisions with potential life-shortening effects that can be categorized into 3 types: (1) withholding or withdrawing potentially life-prolonging treatment; (2) alleviating pain or symptoms pharmaceutically, in large enough doses to hasten death as a potential side effect; and (3) administration, prescription, or...