Article
Oncology
Angela K. Green, Sara M. Tabatabai, Carol Aghajanian, Ola Landgren, Gregory J. Riely, Paul Sabbatini, Peter B. Bach, Colin B. Begg, Allison Lipitz-Snyderman, Sham Mailankody
Summary: The results of this cohort study show that the proportion of older adult cancer patients participating in clinical trials remains low, with only 1.0% to 1.9% of patients participating in interventional cancer clinical trials. The study reveals the current state of clinical trial participation and limited progress in trial accessibility over the past 20 years.
Article
Medicine, General & Internal
Julia G. Burgdorf, Chanee D. Fabius, Catherine Riffin, Jennifer L. Wolff
Summary: This study analyzed data from 2017 Medicare beneficiary and their family and unpaid caregivers surveys to describe characteristics and assess the prevalence of adequate transitional care training among family caregivers for older adults. Among caregivers who assisted with posthospitalization care transitions, Black caregivers and those experiencing financial difficulty were less likely to receive adequate training. Strategies such as standardized caregiver assessments may be needed to ensure equitable support of family caregivers during the discharge process.
Article
Health Care Sciences & Services
Jennifer Reckrey, Katherine Ornstein, Karen McKendrick, Emma Tsui, R. Sean Morrison, Melissa Aldridge
Summary: Hospice aide visits are a common component of hospice care, but visit frequency does not increase as death approaches. Receipt of hospice aide visits was primarily associated with community and hospice agency (rather than patient) characteristics.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Geriatrics & Gerontology
Bian Liu, Christine S. Ritchie, Claire K. Ankuda, Grace Perez-Benzo, Zainab Toteh Osakwe, Jennifer M. Reckrey, Maggie R. Salinger, Bruce Leff, Katherine A. Ornstein
Summary: The study examines the trends in home-based medical care utilization in different care settings from 2012 to 2019. The findings show an increase in overall home-based medical visits in the United States during this period, primarily driven by growth in domiciliary settings. Future research should focus on addressing access inequities and drivers of home-based medical care growth at regional and local levels.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Health Care Sciences & Services
Lacey Loomer, Cyrus M. Kosar, David J. Meyers, Kali S. Thomas
Summary: Analysis of Medicare beneficiary data shows that MA enrollees are less likely to receive prescribed post-acute HH compared to TM enrollees. In MA plans, those with cost sharing, referrals, and pre-authorization are less likely to receive prescribed HH.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Geriatrics & Gerontology
Lianlian Lei, Julie P. W. Bynum, Donovan T. Maust
Summary: This study examines the relationship between Medicare Advantage (MA) plans and reduced medication use of opioids and CNS depressants. The results show that MA beneficiaries have lower likelihood of filling prescriptions for benzodiazepines and co-prescriptions of opioids and gabapentinoids.
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Letter
Medicine, General & Internal
Sidra N. Bonner, Jyothi R. Thumma, Justin B. Dimick, Kyle H. Sheetz
Summary: This cohort study examines the increasing utilization of robotic surgery in Medicare beneficiaries and privately insured patients undergoing general surgical procedures.
Article
Health Care Sciences & Services
Wafa W. Tarazi, Kenneth Finegold, Steven H. Sheingold, Lok Wong Samson, Rachael Zuckerman, Arielle Bosworth
Summary: Research shows that residents in nursing homes, older individuals, minority groups, those with multiple comorbidities, and those who are dually eligible for Medicare and Medicaid are at higher risk of death after contracting SARS-CoV-2. Medicare data has been crucial in informing the nation's response to COVID-19, but there is a need to develop policies and methods for data collection and access for future pandemics and health emergencies.
Article
Endocrinology & Metabolism
Utibe R. Essien, Yuanyuan Tang, Jose F. Figueroa, Terrence Michael A. Litam, Fengming Tang, Philip G. Jones, Ravi Patel, Rishi K. Wadhera, Nihar R. Desai, Sanjeev N. Mehta, Mikhail N. Kosiborod, Muthiah Vaduganathan
Summary: This study compares the quality of diabetes care under Medicare Advantage (MA) and traditional fee-for-service (FFS) Medicare. The results show that while MA plans provide greater access to preventive care, they may not lead to improved health outcomes in the mid-term. MA beneficiaries are also less likely to receive newer antihyperglycemic therapies.
Article
Geriatrics & Gerontology
Berna Demiralp, Jessica S. Speelman, Christine M. Cook, Danielle Pierotti, Marie Steele-Adjognon, Norbert Hudak, Michael P. Neuman, Ian Juliano, Sharon Harder, Lane Koenig
Summary: This study investigated the prevalence of incomplete home health referrals after acute care hospitalization and found that complete referrals were associated with lower mortality and readmission rates as well as higher spending. As policymakers implement alternative policies and payment models, they should consider the tradeoff between quality and cost in increasing home health care utilization.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Surgery
Jennifer S. S. Albrecht, Amit Kumar, Jason R. R. Falvey
Summary: This study examined the disparities in rehabilitation treatment between Black and White patients with traumatic brain injury (TBI) among Medicare beneficiaries. The study found that Black patients were less likely to receive outpatient rehabilitation but received more home health care rehabilitation compared to White patients. These rehabilitation disparities may contribute to reduced functional recovery and residual disability among racial and ethnic minority groups.
Article
Medicine, General & Internal
Yuping Tsai, Tara M. Vogt, Fangjun Zhou
Summary: This study examined the characteristics and medical costs of older adults with COVID-19 in the United States, finding that 4.2% of Medicare FFS beneficiaries sought COVID-19-related medical care, with direct medical costs totaling $6.3 billion, mostly for hospitalizations. Male sex and non-White race/ethnicity were associated with higher probability of hospitalization and higher medical costs.
ANNALS OF INTERNAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Sungchul Park, Jim P. P. Stimpson
Summary: This study examined unmet need for medical care among fee-for-service (FFS) Medicare beneficiaries and found that there were differences in unmet need between different levels of care need, with the highest rates of unmet need observed among the non-elderly disabled population. The findings suggest the importance of targeted policy interventions to address unmet need among non-elderly disabled FFS Medicare beneficiaries, particularly in terms of improving affordability of care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Kenneth Cohen, Omid Ameli, Christine E. Chaisson, Kierstin Catlett, Jonathan Chiang, Amy Kwong, Samira Kamrudin, Boris Vabson
Summary: Medicare Advantage is associated with improved health outcomes, increased care efficiency, and lower out-of-pocket costs compared with fee-for-service (FFS) Medicare.
Article
Geriatrics & Gerontology
Linda V. DeCherrie, Liane Wardlow, Katherine A. Ornstein, Christopher Crowley, Sara Lubetsky, Amy R. Stuck, Albert L. Siu
Summary: Hospital at Home (HaH) is a beneficial care model for patients, but there are reimbursement gaps for services provided in home settings compared to inpatient facilities under Medicare. New payment models are needed to extend the benefits of HaH to Medicare beneficiaries.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Health Care Sciences & Services
Jennifer Reckrey, Katherine Ornstein, Karen McKendrick, Emma Tsui, R. Sean Morrison, Melissa Aldridge
Summary: Hospice aide visits are a common component of hospice care, but visit frequency does not increase as death approaches. Receipt of hospice aide visits was primarily associated with community and hospice agency (rather than patient) characteristics.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Geriatrics & Gerontology
Katherine A. Ornstein, Claire K. Ankuda, Bruce Leff, Subashini Rajagopalan, Albert L. Siu, Krista L. Harrison, Anna Oh, Jennifer M. Reckrey, Christine S. Ritchie
Summary: Nearly half of community-dwelling persons with dementia receive home-based clinical care annually, but there is significant variation in utilization based on race/ethnicity and environmental context. Increased understanding of how these factors impact utilization is necessary to reduce potential inequities in healthcare delivery among the dementia population.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Geriatrics & Gerontology
Jennifer M. Reckrey, Bruce Leff, Raj G. Kumar, Cynthia Yee, Melissa M. Garrido, Katherine A. Ornstein
Summary: This study aims to identify factors associated with becoming homebound among newly diagnosed dementia patients. Analysis of data from the National Health and Aging Trends Study (NHATS) revealed that 20% of newly diagnosed dementia patients were identified as homebound. Compared to non-homebound patients, homebound patients had higher levels of functional impairment, complex medical conditions, and socio-economic disadvantage. The study also found that depression, living in an assisted living facility, and Hispanic ethnicity were associated with becoming homebound.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Gerontology
Jennifer M. Reckrey, Sasha Perez, Deborah Watman, Katherine A. Ornstein, David Russell, Emily Franzosa
Summary: This study explores the perspectives of family caregivers on paid caregivers in home-based dementia care. The research findings indicate that family caregivers prioritize finding suitable paid caregivers and value continuity in care provision due to the vulnerability resulting from advanced dementia. Stable paid care has positive impacts on both the individuals with advanced dementia and their families.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Geriatrics & Gerontology
Jennifer M. Reckrey, Patricia S. Kim, Duzhi Zhao, Meng Zhang, Emily Xu, Emily Franzosa, Katherine A. Ornstein
Summary: During the COVID-19 pandemic, both people with and without dementia experienced significant disruptions in paid caregiving, family caregiving, and home-based services. While caregivers of people with dementia reported more burden, there was little evidence of differences in COVID-19 related disruptions based on dementia status.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Geriatrics & Gerontology
Alex D. Federman, Abraham Brody, Christine S. Ritchie, Natalia Egorova, Arushi Arora, Sara Lubetsky, Ruchir Goswami, Maria Peralta, Jenny M. Reckrey, Kenneth Boockvar, Shivani Shah, Katherine A. Ornstein, Bruce Leff, Linda DeCherrie, Albert L. Siu
Summary: This study compared home-based primary care (HBPC) with office-based primary care in a randomized controlled trial for homebound older adults. The results showed that HBPC was associated with higher satisfaction with care and lower hospitalization rates, but also higher death rates compared to office-based primary care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Review
Gerontology
Emily L. Xu, Patricia S. Kim, Cynthia Yee, Meng Zhang, Jennifer M. Reckrey, Sara Lubetsky, Duzhi Zhao, Katherine A. Ornstein, Emily Franzosa
Summary: Home care workers played critical roles in meeting the needs of homebound individuals during COVID-19, but their contributions were underappreciated. Insufficient home care worker services posed risks for patients and caregivers, highlighting the need to prioritize home care workers in policy-making to ensure high-quality and stable home care for homebound individuals.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Health Care Sciences & Services
Melissa D. Aldridge, Emily Franzosa, Patricia Kim, Emily Xu, Jennifer Reckrey, Meng Zhang, Duzhi Zhao, Katherine A. Ornstein
Summary: This study describes the challenges of providing home hospice care during the COVID-19 pandemic and identifies six domains of disruptions in care processes.
JOURNAL OF PALLIATIVE MEDICINE
(2023)
Article
Gerontology
Ariel Shalev, Joanna B. B. Ringel, Barbara Riegel, Ercole Vellone, Michael A. A. Stawnychy, Monika Safford, Parag Goyal, Emma Tsui, Emily Franzosa, Jennifer Reckrey, Madeline Sterling
Summary: Home health aides (HHAs) play a crucial role in providing care to adults with heart failure (HF) at home. This study found that mutuality, including aspects such as reciprocity and shared activities, is associated with increased job satisfaction among HHAs. Overall, mutuality may be important in promoting job satisfaction among HHAs caring for adults with HF.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Gerontology
Gabrielle Schiller, Audrey Seligman, Sara Lubetsky, Linda V. DeCherrie, Jennifer Reckrey, Victoria Kopke, Nancy Bacher, Sonica Bhatia, Katherine A. Ornstein
Summary: The study evaluated a pilot program for home modification and repair in Mount Sinai Visiting Doctors. Patients were enrolled through referrals from the home-based clinical team. Assessments were conducted and interventions were tracked. The study included descriptive analyses of program data and provider perspectives. The program enrolled 33 patients with an average spending of $528 per patient. The program was found feasible and helpful in reducing burnout. Future implementation and expansion will require more staffing and the addition of an occupational therapist for better assessment and meeting of patient needs.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Health Care Sciences & Services
Jennifer M. Reckrey, Hannah Kleijwegt, R. Sean Morrison, Stephanie Nothelle, Amy S. Kelley, Katherine A. Ornstein
Summary: This study characterized the recipients of paid care and identified factors associated with the receipt of paid care in the context of serious illness and socioeconomic status. The findings showed that individuals with both dementia and non-dementia serious illness, along with functional impairment, received the most paid care. In addition, the highest income quartile and those with non-dementia serious illness were more likely to receive paid care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Geriatrics & Gerontology
Jennifer M. Reckrey, Duzhi Zhao, Robyn I. Stone, Christine S. Ritchie, Bruce Leff, Katherine A. Ornstein
Summary: This study describes the use of home-based clinical care and home-based long-term services and supports among homebound older Medicare beneficiaries. It found that although many people who likely need and could benefit from these services do not receive them, the utilization of home-based clinical care and LTSS is common among the homebound Medicare beneficiaries.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Geriatrics & Gerontology
Alex D. Federman, Abraham Brody, Christine S. Ritchie, Natalia Egorova, Arushi Arora, Sara Lubetsky, Ruchir Goswami, Maria Peralta, Jenny M. Reckrey, Kenneth Boockvar, Shivani Shah, Katherine A. Ornstein, Bruce Leff, Linda DeCherrie, Albert L. Siu
Summary: Home-based primary care (HBPC) is associated with higher satisfaction with care and lower hospitalization rates, but also more deaths compared to office-based primary care. Further research is needed to understand the reasons for the higher death rate among HBPC patients and the effects of HBPC on quality of life and symptom burden, given the trial's early termination.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Environmental Sciences
Jennifer M. Reckrey, Deborah Watman, Emma K. Tsui, Emily Franzosa, Sasha Perez, Chanee D. Fabius, Katherine A. Ornstein
Summary: The study found that family caregivers need to manage paid caregivers, including monitoring, training, and coordinating care work. To support family caregivers, it is necessary to consider their preferences and skills and establish a high-quality caregiving workforce.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Gerontology
Emma K. Tsui, Emily Franzosa, Jennifer M. Reckrey, Marita LaMonica, Verena R. Cimarolli, Kathrin Boerner
Summary: Home care agencies tend to have informal and reactive practices in response to client death, with relatively few targeted and proactive efforts to support aides in these situations. Leaders acknowledge the need for greater support for aides, but cite a lack of sustainable funding and policy resources as barriers. Increased funding for wages, paid time off, and supportive services is recommended for better support of home care aides, with implications for future research.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
