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  • Should Medicare pay for toothpaste and shoes?

    In Massachusetts, nonprofit Commonwealth Care Alliance is piloting a new experiment: using federal dollars from Medicare and Medicaid to provide preventive care and pay for the things that aren't explicitly medical, but are vital for maintaining good health. According to the company, "hospital admissions plunged 27 percent for the organization’s elderly clientele between 2011 and 2017," but there are concerns about whether this model could successfully scale to a national level.

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  • Community health aides: Alaska's unique solution for rural health care

    In Alaska, the Community Health Aide Program is helping to connect people in remote, rural parts of the state to medical care. The program, started decades ago in collaboration with the Indian Health Service, local government, and congress, has helped to keep people healthy despite high expectations and turn-over.

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  • Hawaii is offering citizens money to care for their family—will they take it?

    Many people, often women, spend large amounts of their lives engaging in unpaid care work, dropping out of the labor market or taking a pay cut to care for their families. Hawaii has launched the Kupuna Caregivers Program to provide financial benefits for citizens who spend large amounts of time caring for others.

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  • Caregiver support group aims to reduce elder abuse

    Apollo Healthcare Services has started an elder caregiver support group in Richland County, OH. The intent of this support group is to give caregivers an outlet to voice their frustrations or experiences that accompany elder caregiving so that they are less likely to take out that frustration on the elders in their care.

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  • Counting On Medicaid To Avoid Life In A Nursing Home? That's Now Up To Congress.

    Congressional Republicans' push to reduce Medicaid funds is a threatening proposition to the people who use its services. Medicaid funds services at home which allows people to live at home instead of in a nursing home by providing minor house renovations, a visiting nurse or other worker, or other home products.

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  • Silver Linings: Medical residents make house calls for elders

    Emergency room visits cost money and are not the most comfortable places to be. The Massachusetts-based Medicare program called Independence at Home gives doctors incentives to visit frail patients at home and received a cut of the cost. The program also pairs patients with social workers and continues to save Medicare millions of dollars.

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  • From Institution To Inclusion

    For individuals with developmental disabilities in Washington, D.C., inclusion’s uphill battle, while still happening, has shown results. After the practice of institutionalization ended decades ago, there was a shift to group home living, nonprofit advocacy groups, and job placements. Challenges remain though, like slow-moving bureaucracy, funding, and those still fighting inclusion, but moves toward inclusive jobs and living continue.

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  • Coordinated Care for Those Nearing Life's End — But Does It Save Money?

    A coordinated care program is helping provide in-home care to those who are considered pre-hopsice and who are combatting chronic health issues. While the program doesn't always financially help the hospitals it operates out of due to a reduction in emergency room visits, the patient is able to save almost half of what they would have spent on regular hospital visits.

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  • The Hospital Is No Place for the Elderly

    As the elderly become more likely to have multiple chronic conditions and experience a gradual decline in health towards the end of their lives, a health care approach that centers hospitalization and intensive care might be ineffective and inefficient. Sutter's Advanced Illness Management program (AIM) is using a new, home-based approach to keep down costs and increase quality of life.

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  • If this was a pill, you'd do anything to get it

    *Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

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