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Policy Snapshot
March 5, 2020

Congress has passed a coronavirus emergency spending bill that includes provisions waiving certain Medicare telehealth restrictions during the public health emergency. The waivers let qualified Medicare providers offer telehealth services during a coronavirus national emergency to beneficiaries they have seen within the past three years. The services could be offered in geographic areas where such an emergency has been declared.

The bill waives originating site requirements so that beneficiaries can receive the care they need at home. It also waives restrictions on using telephones...

JAMDA
March 4, 2020

The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.

JAMDA
March 4, 2020

From 2013 to 2016, the Centers for Medicare and Medicaid Services Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents (“the Initiative”) tested a series of clinical interventions and care models, through organizations called Enhanced Care and Coordination Providers (ECCPs), with the goal of reducing avoidable inpatient hospital admissions among long-stay nursing home residents. We identify the effect of the Initiative on the probability and count of acute care transfers [capturing any transfer to the hospital, including hospitalizations (inpatient stays),...

JAMDA
March 3, 2020

Studies examining the effects of statins after acute myocardial infarction (AMI) excluded frail older adults, especially nursing home (NH) residents, and few examined functional outcomes. Older NH residents may benefit less from statins and be particularly susceptible to adverse drug events like myopathy-related functional decline. We evaluated the effects of statins on 1-year functional decline, rehospitalization, and death in NH residents.

JAMDA
March 2, 2020

The study by Carnevale et al compared the different methods used to measure estimated glomerular filtration rate (eGFR) with the estimated total skeletal muscle mass (eTSMM) and highlighted the high degree of variability.1 The decline in muscle mass or sarcopenia that occurs with aging renders the value of serum creatinine as a poor estimate of eGFR, especially in the frail old, a fact demonstrated decades ago.2 In particular, the modification of diet in renal disease (MDRD) study included only a limited number of older adults, as acknowledged by the authors, in a comparison of the MDRD...

JAMDA
March 1, 2020
JAMDA
March 1, 2020
JAMDA
March 1, 2020
JAMDA
March 1, 2020
JAMDA
March 1, 2020

Best practice guidelines recommend that patients follow up with their primary care provider (PCP) within 1-2 weeks after discharge (DC) from skilled nursing facilities (SNFs). In a local safe transitions initiative with 25 SNFs, PCP appointment compliance within 8 and 14 days was 29% and 48% after SNF discharge. We delivered a quality improvement (QI) coaching intervention to enhance transitional care processes from SNF to community.