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Profile of Older Dual-Enrollees Living in Areas with Managed Long-Term Services and Supports

JAMDA
December 13, 2023
Nearly half of all state Medicaid agencies in the United States have implemented managed long-term services and supports (MLTSS). Data gaps have inhibited our understanding of MLTSS experiences to date. We draw on a national survey with novel data...

Focusing on Provider Quality Measurement: Continued Consensus and Feasibility Testing of Practice-Based Quality Measures for Primary Care Providers in Long-Term Care

JAMDA
December 12, 2023
Medical providers in long-term care (LTC) use a unique skillset in delivering comprehensive resident care. Publicly reported quality measures (QMs) do not directly emphasize medical provider competency and their role in care. The impact of providers...

Health Professional Shortage Area: CY 2024 Bonus Payments

Policy Snapshot
December 8, 2023
See ZIP Codes designated as Health Professional Shortage Areas in 2024 that are eligible for a Medicare Physician Bonus: Visit Physician Bonuses Review the Health Professional Shortage Area Physician Bonus Program fact sheet Use the Medicare...

Skilled Nursing Facility Value-Based Purchasing Program: December Confidential Feedback Reports

Policy Snapshot
December 8, 2023
Download your December Quarterly Confidential Feedback Reports for the Skilled Nursing Facility Value-Based Purchasing Program from iQIES , including the incentive payment multiplier CMS will apply to your Part A claims in FY 2024. Submit...

COVID-19 Infection and Mortality in State Veterans Homes: A Multilevel Approach

JAMDA
December 8, 2023
Some state veterans homes (SVHs) received media attention in the wake of the COVID-19 pandemic because of allegations of poor infection control and excess mortality. However, little research has investigated how these facilities differ from...

The Utility of Low-Dose Methadone for Pain among Vulnerable Nursing Home Residents

JAMDA
December 8, 2023
Pain is a prevalent issue in nursing homes, and opioids are usually indicated after other nonopioid modalities fail. Because the pain is often persistent, and the resident would not ask for enough analgesics because of various reasons, including...

Fatal Complication of Mouthguard Used to Treat Awake Bruxism in Patient with Frontotemporal Dementia

JAMDA
December 8, 2023
Awake bruxism is an understudied manifestation of frontotemporal dementia, yet awake bruxism can have fatal consequences in the aging population. This report presents a patient suffering from awake bruxism associated with frontotemporal dementia...

Accountable Care Organization Attribution and Post-Acute Skilled Nursing Facility Outcomes for People Living With Dementia

JAMDA
December 8, 2023
Under the Accountable Care Organization (ACO) model, reductions in healthcare spending have been achieved by targeting post-acute care, particularly in skilled nursing facilities (SNFs). People with Alzheimer disease and related dementias (ADRD) are...

Predicting 60-Day Mortality in a Home-Care Service: Development of a New Inter-RAI 49-Frailty Index in Patients with Chronic Disease and without a Cancer Diagnosis

JAMDA
December 8, 2023
Frailty Index (FI) is used to define the level of frailty in various clinical settings. Fifteen- and 26-item FIs have been demonstrated to predict 1-year mortality and intensity of care in home care (HC) and palliative home care (PHC). The objective...

How Positive Partnerships Make Programs Productive

Spotlight
December 6, 2023
MEMBERS ONLY CONTENT Login or Join A real connection between leaders in post-acute and long-term care (PALTC) is not unlike a marriage or any other significant relationship. It requires mutual trust and respect, open communication, work, commitment...