Literature Review

Senators introduce bipartisan bill to expand zccess to senior care program [PACE] FCFreePress.com; by News Desk - Health News; 7/25/24 [Thursday, 7/25/24,] U.S. Senators Bob Casey (D-PA) and Mike Braun (R-IN), leaders of the U.S. Senate Special Committee on Aging, introduced the bipartisan PACE Anytime Act. This legislative move seeks to broaden the accessibility of the Program of All-Inclusive Care for the Elderly (PACE) which serves thousands of lower-income seniors and individuals with disabilities by offering comprehensive, integrated care. ... Under current regulations, eligible individuals can only enroll in PACE programs at the beginning of each month. The PACE Anytime Act proposes to remove this restriction, allowing for enrollment at any time during the month, thereby making the program more accessible. 

A blood test accurately diagnosed Alzheimer’s 90% of the time, study finds The New York Times; by Pam Belluck; 7/28/24 The New York Times says researchers “reported that a blood test was significantly more accurate than doctors’ interpretation of cognitive tests and CT scans in signaling” Alzheimer’s disease. The study “found that about 90% of the time the blood test correctly identified whether patients with memory problems had Alzheimer’s,” while “dementia specialists using standard methods that did not include expensive PET scans or invasive spinal taps were accurate 73% of the time” and “primary care doctors using those methods got it right only 61% of the time.” The findings were published in JAMA and presented at the Alzheimer’s Association International Conference.

Empath Health, Trustbridge leaders are setting home health sights high after integration Home Health Care News; by Joyce Famakinwa; 7/26/24 Empath Health is a company in transition. In the spring, it completed an affiliation process with Trustbridge, which formed the largest nonprofit post-acute provider organization in the state of Florida. ... Since completion of the affiliation process, the company has focused on integration, synergistic opportunities and determining how best to deliver care to the communities it serves. One of the people at the helm of this transition is Tarrah Lowry, Empath Health’s chief operating officer and Trustbridge’s interim president. [Click on the title's link to read the recent interview by Home Health Care News' with Tarrah Lowry.]

[Michigan] Local PACE center in the works WCMU Michigan News Group, Alpena, MI; by Courtney Boyd; 7/24/24 Construction has begun for a new senior service center in Alpena, which will provide services in-house and to residents homes as needed. The project has been in the works since 2023. The Program of All-Inclusive Care for the Elderly (PACE) is a non-profit organization whose goal is to provide the “highest quality of life” for seniors while allowing them to stay independent as long as possible. According to their website, pacemichigan.com, it serves as an alternative to nursing homes by providing seniors with their medical, social, and physical needs. ... [This] new center will be the 15th in the state and cover five counties: Alpena, Presque Isle, Montmorency, Alcona and parts of Iosco.

New York Department of Health previews proposed PACE regulations Lexology; by Greenberg Traurig, LLP; 7/16/24 In December 2022, New York Gov. Hochul signed legislation establishing a new streamlined licensure process for the Program of All-Inclusive Care for the Elderly (PACE) under Article 29-EE of the New York Public Health Law. The Department of Health (DOH) previewed the Commissioner of Health’s proposed implementing regulations at a June 2024 meeting of the Public Health and Health Planning Council (PHHPC). The proposed regulations will be subject to the procedures of the State Administrative Procedure Act, which requires that they be published in the State Register and that the public be given a comment period. [Click on the title's link for details.]

Senior CommUnity Care of NKY Program announces opening of PACE senior care program Northern Kentucky Tribune; 7/16/24 Senior CommUnity Care of Northern Kentucky is celebrating the opening of the Program of All-Inclusive Care for the Elderly (PACE) serving eligible participants residing in Northern Kentucky — including Boone, Campbell, Kenton, Gallatin, Carroll, Owen, Grant and Pendleton counties. ... Senior CommUnity Care of Northern Kentucky is a partnership of Volunteers of America National Services (VOANS) PACE Holding Company, a recognized PACE operator, and St. Elizabeth Healthcare.

Senior living providers embrace role in CMS dementia care pilot program McKnights Senior Living; by Kimberly Bonvissuto; 7/11/24 Senior living providers named participants in the federal government’s new dementia care pilot program said they are excited to be part of a new effort to support people living with dementia and their family caregivers. The Center for Medicare and Medicaid Innovation, CMMI, announced the Guiding an Improved Dementia Experience, or GUIDE, model last summer. The Centers for Medicare & Medicaid Services launched the eight-year GUIDE model on July 1 and published the program participant list on Monday [7/8]. Eligible model participants are Medicare Part B-enrolled providers eligible to bill for Medicare services and that provide, or will provide, ongoing care to people living with dementia. Eligible organizations include accountable care organizations, home health and hospice agencies, Programs of All-Inclusive Care for the Elderly, and physician practices. Additional long-term care providers and other healthcare providers, however, can participate as partner organizations by contract with another Medicare provider/supplier to meet the program care delivery requirements. Assisted living residents who are Medicare beneficiaries may be part of the model. Editor's Note: Adding to our previously published posts about the new CMS GUIDE Program (7/10/24 and 7/11/24) and its use by hospice organizations, this article describes its use by senior living care providers. 

Illinois launches PACE services to provide better care integration for elderly population State of Reform - Illinois News; by Maddie McCarthy; 7/2/24 The Program of All-Inclusive Care for the Elderly (PACE) officially launched in Illinois in June, and designated PACE centers have begun rolling out services to their members. ... “PACE is an integrated model of care that provides all the care and services covered by Medicare and Medicaid, as authorized by the interdisciplinary team, as well as additional medically-necessary care and services not covered by Medicare and Medicaid,” said the Illinois Department of Healthcare and Family Services (HFS) in a statement sent to State of Reform. Illinois has five regions offering PACE services: West Chicago, South Chicago, Southern Cook County, Peoria, and East St. Louis. HFS and the Centers for Medicare and Medicaid Services (CMS) awarded contracts to seven designated centers.

Chronic loneliness and the risk of incident stroke in middle and late adulthood: a longitudinal cohort study of U.S. older adults eClinical Medicine, Part of THE LANCET Discovery Science; by Yenee Soh, Ichiro Kawachi, Laura D. Kubzansky, Lisa F. Berkman, and Henning Tiemeier; 6/24/24 Loneliness has been implicated as a stroke risk factor, yet studies have examined loneliness at only one time point. The association of loneliness changes and risk of incident stroke remains understudied. Our aim was to examine the association of loneliness with incident stroke, particularly the role of loneliness chronicity. Chronic loneliness was associated with higher stroke risk independent of depressive symptoms or social isolation. Addressing loneliness may have an important role in stroke prevention, and repeated assessments of loneliness over time may help identify those particularly at risk.Editor's Note: This is the source research for an article we posted yesterday, 6/28/24, titled 

48 health systems with strong finances Becker's Hospital CFO Report; by Andrew Cass; 6/20/24 Here are 48 health systems with strong operational metrics and solid financial positions, according to reports from credit rating agencies Fitch Ratings and Moody's Investors Service released in 2024. Note: This is not an exhaustive list. Health systems were compiled from credit rating reports. [Click on the title's link for the list.] Editor's Note: This list is from larger "health systems," and does not reflect stand-alone hospice and palliative organizations.

Palliative care considerations in frail older adults Annals of Palliative Medicine; by Andrew E Russell, Rachel Denny, Pearl G Lee, Marcos L Montagnini; 6/6/24, online ahead of print...This paper aims to guide clinicians in providing patientcentered care for older adults with frailty in the outpatient setting. Through a comprehensive literature review, we describe the leading models of frailty, frailty screening tools used in the clinical setting, and the assessment and management of palliative care needs in frail patients. We also describe emerging models of care focusing on palliative care for older adults with frailty and discuss issues related to access to palliative care for this population.

Navigating Aging: New help for dealing with aggression in people with dementia Northern Kentucky Tribune; by Judith Graham, KFF Health News; 6/9/24Caring for older adults with dementia is stressful, especially when they become physically or verbally aggressive, wander away from home, develop paranoia or hallucinations, engage in inappropriate or repetitive behaviors, or refuse to let caregivers help them. Upward of 95% of patients experience these neuropsychiatric symptoms of dementia, which tend to fluctuate over time and vary in intensity. They’re the primary reasons people with dementia end up in assisted living facilities or nursing homes. At some point, families and friends trying to help at home simply can’t manage. “When people think about dementia, they usually think about forgetfulness and memory impairment,” said Mary Blazek, director of the geriatric psychiatry clinic at the University of Michigan. “But it’s behavioral and psychological disturbances that are most disruptive to patients’ and caregivers’ lives.”

NYCHA, HPD and HDC celebrate completion of nearly 200 units of senior housing in Bed-Stuy New York Law School; by Veronica Rose; 5/28/24 On May 23, 2024, the New York City Housing Authority, the Department of Housing Preservation and Development and the New York City Housing Development Corporation celebrated the completion of the Atrium at Sumner project, a new eleven-story residence for seniors. ... Of these 190 units, 57 apartments have been reserved for seniors who formerly experienced homelessness, and 132 apartments are available to senior households at 50 percent area median income or less. ... On-site social services will be provided through Selfhelp’s Active Services for Aging Model with voluntary social work support for individual residents and a Program of All-Inclusive Care for the Elderly (PACE Center) on the ground floor open to residents.