Podcasts about all inclusive care

In today's episode, we chat with Leo Cuello, J.D., a Research Professor at the Center for Children and Families in the McCourt School of Public Policy at Georgetown University. Leo helps us understand what Medicaid is and the roles it performs as the U.S. largest health coverage program.Timeline of the conversation:2:00 What is Medicaid and how does it impact the disability community? What services does Medicaid cover?7:00 Medicaid pays 60% of the long-term care, covering nursing homes and 70% of the home and community-based services.10:00 Medicaid is known by different names in different States, and eligibility criteria for each program may vary. For example in Tennessee, Medicaid is known as Tenncare.20:00 Home and Community-based waivers or exemptions25:23 Funding and how does money flow from the Federal to the State level (federal matching dollars per State . According to HUD Exchange, Tennessee receives $1.86 for each healthcare dollar it spends).36:00 What is Medicaid Expansion? (States not currently enrolled in this program include: AL, FL, GA, KS, MS, SC, TN, TX, WI, WY)37:00 Implications of Medicaid Cuts for Rural Communities?41:00 Misinformation that Medicaid Cuts will not affect individuals with disabilities44:00 What is Fraud, Waste, and Abuse as it relates to healthcare?51:00 What does Medicaid cuts mean for healthcare providers? How do States adjust for Medicaid cuts? 1) Change eligibility criteria2) Change program coverage3)Cut provider rates56:00 Call to Action. Contact your Congress Representative and Senator to tell them what Medicaid means to your family. You can find representatives at the following links: https://www.house.gov/ or https://www.senate.gov/. If you are comfortable with making a call, contact your representative at the US Capitol Building (202) 224- 3121 and respectfully speak or leave a message advocating for #NoCutsToMedicaid.Names of Medicaid per State Arkansas Health CareCaliforniaMedi-CalColoradoHealth First ColoradoConnecticut Husky HealthDelawareDelaware MedicaidFlorida Program of All-Inclusive Care for the Elderly (PACE)GeorgiaGeorgia MedicaidIllinoisIllinois MedicaidIowaIowa MedicaidKentuckyKentucky MedicaidMaineMaineCareMarylandMaryland MedicaidMassachusettsMassHealthMichiganMichigan MedicaidMinnesotaMinnesota Family CareMontanaMontana MedicaidNebraskaNebraska MedicaidNevadaNevada MedicaidNew HampshireNH MedicaidNew JerseyNew Jersey Medicaid New Mexico New Mexico MedicaidNew York New York MedicaidNorth Carolina MedicaidNorth Dakota North Dakota Medicaid

Dan Drake, President and CEO of Trinity Health PACE, discussed how a PACE comprehensive community-based approach can allow older adults continue to live at home as long as possible. Trinity Health PACE, a member of Trinity Health, provides comprehensive medical, health, recreational, and social services to qualified elderly individuals, allowing them to remain at home while receiving essential care. Dan describes PACE, Program for All-Inclusive Care for the Elderly, as inside-out nursing home care, it delivers nursing home-level medical services in PACE participants’ homes or at a PACE center with proven results in reducing admissions to hospital settings. To enroll, an individual must qualify for nursing home care with low income; he notes that most qualify for both Medicare and Medicaid, with little or no co-pays. Once enrolled PACE operates as both insurer and care provider. For the protection of the care providers and the resident they perform an in-home review, making sure the home is livable and safe; they will even help with decluttering of a residence. Once in PACE care they have access to social and recreational opportunities, occupational and physical therapist, dieticians, transportation to medical appointments, as well as a dedicated team for primary care and registered nurse home care. For more information about PACE programing and find providers in your community visit medicaid.gov For Trinity Health PACE, serving locally the Philadelphia, South Jersey and Delaware areas, go to TrinityHealthPace.org

Join Sarah as she dives back into CMS regulations! This week, she highlights 5 regulations from the 2026 Medicare Advantage and Part D Final Rule.   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 5 Things About the 2026 CMS MA and Part D Rate Announcement: https://lnk.to/asgf20250411 CMS 2025 Marketplace Integrity & Affordability Proposed Rule: https://lnk.to/asgf20250314 CMS Updates to MA and Part D for CY 2026: https://lnk.to/asgf20250425 Expanded Medicare Telehealth Benefits Extended Through September 2025: https://ritterim.com/blog/expanded-medicare-telehealth-benefits-extended-through-september-2025/  Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/   References: “CMS Finalizes 2026 Payment Policy Updates for Medicare Advantage and Part D Programs.” CMS.Gov, Centers for Medicare and Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/press-releases/cms-finalizes-2026-payment-policy-updates-medicare-advantage-and-part-d-programs. “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Apr. 2025, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, 15 Apr. 2025, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare.     Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

  The Friday Five for April 25, 2025: Dr. Oz shares MAHA vision as CMS admin CY 2026 Part D Coverage Cost Breakdown CY 2026 Selected Drug Subsidy Cost Breakdown Provisions Not Finalized in 2026 MA and Part D Final Rule Impact of Non-Finalized Provisions on Agents   Dr. Oz shares MAHA vision as CMS admin: Simmons-Duffin, Selena. “5 Things to Know as Dr. Oz Prepares to Lead Medicare and Medicaid.” NPR.Org, NPR, 3 Apr. 2025, www.npr.org/sections/shots-health-news/2025/03/25/g-s1-55766/dr-mehmet-oz-medicare-medicaid-cms-trump. “Dr. Mehmet Oz Shares Vision for CMS.” CMS.Gov, Centers for Medicare & Medicaid Services, 25 Apr. 2025, www.cms.gov/newsroom/press-releases/dr-mehmet-oz-shares-vision-cms. Olsen, Emily. “Dr. Oz Sworn in as CMS Administrator.” Healthcaredive.Com, Healthcare Dive, 21 Apr. 2025, www.healthcaredive.com/news/dr-mehmet-oz-sworn-in-cms-administrator/745880/.   CY 2026 Part D Coverage Cost Breakdown: “Final CY 2026 Part D Redesign Program Instructions.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/final-cy-2026-part-d-redesign-program-instructions. Accessed 23 Apr. 2025. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, 15 Apr. 2025, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare.   CY 2026 Selected Drug Subsidy Cost Breakdown: John, Stephnie A., and Abdie Santiago. “The IRA in 2025: The Future of Medicare Part D.” Mintz.Com, Mintz, 13 Feb. 2025, www.mintz.com/insights-center/viewpoints/2146/2025-02-13-ira-2025-future-medicare-part-d. “Medicare Prescription Drug Benefit Manual – Chapter 5.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/chapter-5-benefits-and-beneficiary-protection-v92011.pdf. Accessed 23 Apr. 2025. “Factsheet: Medicare Drug Price Negotiation Program.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf. Accessed 23 Apr. 2025.   Provisions Not Finalized in 2026 MA and Part D Final Rule: “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. Accessed 24 Apr. 2025. Tong, Noah. “Medicare Advantage Final Rule Excludes Anti-Obesity Drug Coverage under Medicare, Medicaid.” Fiercehealthcare.Com, Fierce Healthcare, 4 Apr. 2025, www.fiercehealthcare.com/payers/medicare-advantage-final-rule-excludes-anti-obesity-drug-coverage-under-medicare-medicaid. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. Accessed 24 Apr. 2025. “Medicare Coverage of Anti-Obesity Medications.” Aspe.Hhs.Gov, Assistant Secretary for Planning and Evaluation, 26 Nov. 2024, aspe.hhs.gov/sites/default/files/documents/127bd5b3347b34be31ac5c6b5ed30e6a/medicare-coverage-anti-obesity-meds.pdf.   Resources: 2025 Maximum Broker Commissions for Medicare Advantage & Medicare Part D: https://ritterim.com/blog/2025-maximum-broker-commissions-for-medicare-advantage-and-medicare-part-d/ 3 Additional Effective Techniques for Closing Insurance Sales: https://lnk.to/asg656 4 Effective Techniques for Closing Insurance Sales: https://lnk.to/asg655 5 Things About the 2026 CMS MA and Part D Rate Announcement: https://lnk.to/asgf20250411 CMS Updates, Content Library, & More! https://lnk.to/asgf20250328 Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/ Subscribe to the Ritter Blog: https://ritterim.com/blog/ The Best Appointment Schedulers for Insurance Agents: https://lnk.to/asg657   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.

CMS just released the 2026 MA and Part D Rate Announcement! Listen to learn more about what this means for the upcoming coverage year.   Resources: 3 Additional Effective Techniques for Closing Insurance Sales: https://lnk.to/asg656 4 Effective Techniques for Closing Insurance Sales: https://lnk.to/asg655 CMS Updates, Content Library, & More! https://lnk.to/asgf20250328 Introducing a Content Marketing Solution for Insurance Agents: https://lnk.to/contentlibrary  The Best Appointment Schedulers for Insurance Agents: https://lnk.to/asg657   References: “2026 Medicare Advantage and Part D Advance Notice Fact Sheet.” CMS.Gov, Centers for Medicare & Medicaid Services, 10 Jan. 2025, www.cms.gov/newsroom/fact-sheets/2026-medicare-advantage-and-part-d-advance-notice-fact-sheet. “2026 Medicare Advantage and Part D Rate Announcement.” CMS.Gov, Centers for Medicare & Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/fact-sheets/2026-medicare-advantage-and-part-d-rate-announcement. “Announcement of Calendar Year (CY) 2026 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.” CMS.Gov, Centers for Medicare & Medicaid Services, 7 Apr. 2025, www.cms.gov/files/document/2026-announcement.pdf. Tong, Noah. “CMS Finalizes 5.06% Medicare Advantage Benchmark Increase.” Fiercehealthcare.Com, Fierce Healthcare, 8 Apr. 2025, www.fiercehealthcare.com/payers/cms-finalizes-506-medicare-advantage-benchmark-increase. “CMS Finalizes 2026 Payment Policy Updates for Medicare Advantage and Part D Programs.” CMS.Gov, Centers for Medicare & Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/press-releases/cms-finalizes-2026-payment-policy-updates-medicare-advantage-and-part-d-programs. “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. “Final CY 2026 Part D Redesign Program Instructions.” CMS.Gov, Centers for Medicare & Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/fact-sheets/final-cy-2026-part-d-redesign-program-instructions.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Not affiliated with or endorsed by Medicare or any government agency.

Richard Feifer, MD, Chief Medical Officer of InnovAge, joins Eric to explore the transformative potential of the PACE (Program of All-Inclusive Care for the Elderly) model. Richard shares compelling stories and strategies showcasing how PACE integrates medical, physical, social, and emotional care to improve outcomes for seniors and individuals with complex needs. Listeners will gain insights into: The unique interdisciplinary care team (IDT) approach and how it delivers personalized, efficient care. Innovations in reducing hospitalizations and shifting care to home-based settings. Lessons on advanced care planning and end-of-life support that prioritize patient goals. Operational strategies for managing costs while maintaining exceptional patient experiences. Richard explores the economic and practical sustainability of the PACE model, providing actionable insights for healthcare leaders aiming to replicate its success.   About Richard As a physician executive with broad healthcare industry experience, Dr. Richard Feifer helps organizations achieve their fullest potential in an ever-changing environment. Rich is a board-certified internist with clinical experience in primary care, geriatrics, and urgent care medicine.  As a health system leader, he has also developed expertise in population health management, value-based payment models, clinical analytics, and technology-driven healthcare transformation.   Rich has dedicated his career to improving the quality and efficiency of healthcare and the health of populations he has served. Most recently, as executive vice president and chief medical officer of Genesis HealthCare, he led one of the nation's largest skilled nursing and long-term care providers, operating over 400 facilities in 25 states in 2019. As president of Genesis Physician Services, a Genesis subsidiary with over 450 physicians, nurse practitioners, and physician assistants in 2019, he navigated the successful transition to value-based care delivery. In that capacity, he also launched and served as chief medical officer of the only national accountable care organization focused on nursing home residents, LTC ACO.   Prior to joining Genesis, Rich was Aetna's chief medical officer of National Accounts, leading the department of Clinical Consulting, Strategy, and Analysis, which helped large employers improve the health and productivity of their employees and dependents. Before Aetna, Rich served as vice president of Clinical Program Innovation and Evaluation at Medco, where he was responsible for the organization's portfolio of care enhancement programs.   A graduate of Brown University and the University of Pennsylvania School of Medicine, Rich received his master's in health services management from Columbia University. He is an assistant clinical professor at the University of Connecticut and a board member of the Accreditation Commission on Health Care.    About InnovAge Our passion and mission is to help frail seniors age in their own homes with dignity. InnovAge has done this through PACE for more than 30 years.    As the largest provider of the Program of All-inclusive Care for the Elderly (PACE) based on participants served, InnovAge is dedicated to expanding this successful program to serve as many seniors as possible nationwide. In some communities, like Philadelphia, PACE is known as Living Independence for the Elderly.    With InnovAge's Program of All-inclusive Care for the Elderly (PACE), older individuals have a team of healthcare professionals focused on providing all the connected care they need. This helps seniors live at home for as long as possible, instead of going to a nursing home or other care facility. 

What happens when you blend nearly 25 years of legal expertise with the rapidly changing landscape of healthcare? Join us as we welcome Meg Pekarske, head of the Hospice and Palliative Care Practice Group at Hush Blackwell, who shares her remarkable journey and insights into hospice law. From her early mentorship under Mary Michael to leading a dynamic team of 15 professionals, Meg's story is one of adaptability and growth. As we navigate the complexities of the evolving healthcare market, Meg's unique blend of analytical and creative skills provides invaluable perspectives on fostering resilience and innovation in hospice care. Discover the strategies for financial sustainability in the hospice industry as we explore the significance of revenue diversification. With traditional Medicare reimbursement for palliative care falling short, there's a pressing need for creative financial strategies tailored to organizational needs. You'll learn about the potential of innovative care models and the increasing appeal of PACE (Program of All-Inclusive Care for the Elderly) as we discuss substantial investment and staffing requirements. This conversation emphasizes the urgency for leaders to be agile and inventive in meeting the needs of the community and patients effectively.Our exploration doesn't stop there. We tackle the intricacies of legal structures in healthcare, the resurgence of Independent Practice Associations, and the active landscape of healthcare antitrust concerns. Meg's insights guide us through the potential future of Hospice care, advocating for a broader approach that prioritizes upstream interventions and interdisciplinary care. As we ponder the evolving role of professional skills in the age of AI, don't miss our reflection on the enduring importance of human empathy and emotional intelligence. This episode promises a thought-provoking journey that challenges conventional methods and inspires a broader vision for serving our communities.Guest:  Meg Pekarske, Partner and Head of the Hospice and Palliative Care Practice Group at the Law Firm of Husch BlackwellHost: Chris Comeaux, President / CEO of TCN/TCGhttps://www.teleioscn.org/tcntalkspodcast/meg-pekarske-on-model-considerations-for-the-futureTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Join us on the latest episode, hosted by Jared S. Taylor!Our Guests: The Su Brothers, Co-Founders at Seen Health.What you'll get out of this episode:The Su Brothers' Unique Partnership: Co-founders and twins, Xing and Yang Su, discuss how their complementary skillsets and shared mission led to founding Seen Health.Personal Motivation: Inspired by challenges faced in their own family during COVID, the brothers set out to revolutionize senior care for aging populations.Modernizing PACE: Seen Health aims to expand the Program of All-Inclusive Care for the Elderly (PACE) by leveraging cutting-edge technology and operational innovations.Empowering Staff Through AI: Seen Health's approach focuses on enhancing staff capabilities with AI tools, reducing burnout and enabling better care.Scaling with Impact: By offering modular solutions, Seen Health aims to lower barriers to entry and scale senior care centers nationwide.To learn more about Seen Health:Website: https://www.seenhealth.org/ LinkedIn: https://www.linkedin.com/company/seen-health/ Our sponsors for this episode are:Sage Growth Partners https://www.sage-growth.com/Quantum Health https://www.quantum-health.com/Show and Host's Socials:Slice of HealthcareLinkedIn: https://www.linkedin.com/company/sliceofhealthcare/Jared S TaylorLinkedIn: https://www.linkedin.com/in/jaredstaylor/WHAT IS SLICE OF HEALTHCARE?The go-to site for digital health executive/provider interviews, technology updates, and industry news. Listed to in 65+ countries.

In this episode, we discuss the efficacy and safety of semaglutide and tirzepatide for weight loss with a particular focus on the legal, regulatory, and safety aspects of these “compounded” GLP-1 receptor agonist medications. Key Concepts Semaglutide and tirzepatide have growing evidence that their clinical benefits extend beyond the treatment of diabetes. Evidence now shows benefit in a variety of obesity-related disease states regardless of a patient's diabetes status. Insurance coverage and drug cost is a major barrier to these medications, with cash prices exceeding $1000 per month in the US. There are many companies that are combining telemedicine visits with “compounded” GLP-1s to provide these medications at a reduced cost. The Food, Drug, and Cosmetic (FD&C) Act regulates compounded drugs. These regulations provide the legal context for pharmacies to compound GLP-1 medications. These regulations describe who can compound, what drugs can be compounded, and other unique circumstances (e.g. compounding in the context of a drug shortage). The FDA has released warnings regarding safety risks of compounded GLP-1s. The main safety concern is dosing errors; however, the warnings also include concerns of patients accessing drug products that are outside of the legal scope of the FD&C Act. The recent ADA statement recommends against the use of compounded GLP-1s due to these concerns. References Karagiannis T, Malandris K, Avgerinos I, et al. Subcutaneously administered tirzepatide vs semaglutide for adults with type 2 diabetes: a systematic review and network meta-analysis of randomised controlled trials. Diabetologia. 2024;67(7):1206-1222. doi:10.1007/s00125-024-06144-1 Müllertz ALO, Sandsdal RM, Jensen SBK, Torekov SS. Potent incretin-based therapy for obesity: A systematic review and meta-analysis of the efficacy of semaglutide and tirzepatide on body weight and waist circumference, and safety. Obes Rev. 2024;25(5):e13717. doi:10.1111/obr.13717 Jastreboff AM, Le Roux CW, Stefanski A, et al. Tirzepatide for Obesity Treatment and Diabetes Prevention. New England Journal of Medicine. 2024. https://www.nejm.org/doi/full/10.1056/NEJMoa2410819 Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-P). https://www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription Human Drug Compounding. https://www.fda.gov/drugs/guidance-compliance-regulatory-information/human-drug-compounding Compounded Drug Products That Are Essentially Copies of a Commercially Available Drug Product Under Section 503A of the Federal Food, Drug, and Cosmetic Act. https://www.fda.gov/media/98973/download FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. https://www.fda.gov/drugs/human-drug-compounding/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss Nomination of Semaglutide Products to the Demonstrable Difficulties for Compounding Lists. https://www.regulations.gov/document/FDA-2017-N-2562-0029 Neumiller JJ, Bajaj M, Bannuru RR, et al. Compounded GLP 1 and dual GIP/GLP 1 receptor agonists: A statement from the American Diabetes Association. Diabetes Care. 2024 Dec 2:dci240091. doi: 10.2337/dci24-0091.

In this special community-focused episode of the Exit Strategies Radio Show, we launch a new segment dedicated to highlighting local programs and resources that enrich lives and strengthen community connections. Joining us is Rob Williams Sr., Executive Director of Bold PACE (Program of All-Inclusive Care for the Elderly) to discuss their unique, holistic approach to elderly care. The PACE program offers comprehensive services including medical, social, and transportation support, helping seniors maintain their dignity and quality of life at home.  The program, available to those 55 and older within certain counties in South Carolina, aims to bridge healthcare disparities and provide peace of mind for caregivers. Rob shares insights on overcoming community distrust and the significant impact of PACE on both participants and caregivers. This segment reflects our commitment to connecting our audience with valuable community programs and services, enhancing financial literacy, and supporting legacy building. Key Takeaways: 1:00:  What PACE is and how it supports older adults with complex care needs 3:30:  The services and resources PACE provides to help seniors age in place 6:45:  How PACE ensures older adults live independently and safely at home 9:15:  The benefits of community-based care over institutional settings 12:00:  How PACE helps families and caregivers navigate aging challenges To learn more about the BOLD Age PACE program or schedule a tour, call 854-768-0800 or reach out to the call center at 855-801-BOLD (2653). If you or a loved one might benefit from the PACE program, don't wait—start the conversation today. Tune in to this episode and share it with someone who could use this life-changing support. Connect with Rob@: Contact Number: 854-768-0800 or  855-801-BOLD (2653) Website: https://boldagepace.com/ Linkedin: https://www.linkedin.com/in/robwilliamssr Connect with Corwyn@: Contact Number: 843-619-3005 Email: corwyn@corwynmelette.com Instagram:⁠ https://www.instagram.com/exitstrategiesradioshow/⁠ FB Page:⁠ https://www.facebook.com/exitstrategiessc/⁠ Youtube:⁠ https://www.youtube.com/channel/UCxoSuynJd5c4qQ_eDXLJaZA⁠ Website:⁠ https://www.exitstrategiesradioshow.com⁠ Linkedin:⁠ https://www.linkedin.com/in/cmelette/⁠ Shoutout to our Sponsor: ROBYN COLLINS Do you want something more? More Meaningful Moments opportunities, deeper relationships and memorable experiences? Do you want to make a difference? If you say YES, a career and real estate could be the opportunity you're looking for guiding people to one of the most important decisions they ever made, the purchase or sale of their home can be both rewarding and lucrative.  Exit Realty has a revolutionary compensation model training and technology that provides you with the tools you need to start and build your successful real estate career. Call me today  ROBYN COLLINS with REDROBYN HOMES at 843-557-5003. Again that's 843-557-5003 or visit RedRobynhomes.com/join.exit and make your Exit today. --- Support this podcast: https://podcasters.spotify.com/pod/show/corwyn-j-melette/support

  This week, join Sarah as she takes a closer look at 5 provisions from the CMS 2026 MA and Part D Proposed Rule.   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: Best Mobile Group Games! https://pod.fo/e/28b5ed Instagram Basics for Insurance Agents: https://pod.fo/e/28803f The Power of Listening & Laughter: https://pod.fo/e/2870fa   References: “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-P).” CMS.Gov, Centers for Medicare & Medicaid Services, 26 Nov. 2024, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription. “Medicare and Medicaid Programs: Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” FederalRegister.Gov, Federal Register, www.federalregister.gov/public-inspection/2024-27939/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. Accessed 4 Dec. 2024.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

In this episode of Healthcare Americana, Christopher Habig speaks with Dr. Matt Patterson, President of WelbeHealth, about the pressing issues of loneliness and mental health among seniors. They discuss the inadequacies of the current volume-driven healthcare system in addressing these challenges. Dr. Patterson explains WelbeHealth's Program of All-Inclusive Care for the Elderly (PACE) which provides comprehensive care for older adults. He also emphasizes the importance of human interaction in healthcare and advocates for the expansion of PACE to improve outcomes for seniors while reducing costs for taxpayers.More on Freedom Healthworks & FreedomDocSubscribe at https://healthcareamericana.com/More on Dr. Matt Patterson & WelbeHealthFollow Healthcare Americana: Instagram & LinkedIN

PACE Programs: Patient-Centered Care in Action with Courtney BarrWhile many programs appear too good to be true, PACE (Program of All-Inclusive Care for the Elderly) programs are the real deal. Courtney Barr joins me on the podcast as we dive into the transformative impact of these patient-centered, collaborative care programs. That's why this week on The Amplify OT Podcast, I am talking about patient-centered care in action!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.In this episode, I cover:What a PACE program is, who it helps, how eligibility and services are determined, and how many of these programs currently exist in the U.S. Where funding for PACE programs comes from and how compensation for practitioners is billed. The PACE program's patient-first model reduces administrative barriers, allowing the care team to work together and focus on patient needs first and foremost. Advice for practitioners looking to pursue a role in a PACE program. Thanks for listening! If you found this episode helpful, don't forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/ Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May ApplyAmplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:National PACE AssociationMastering Medicare Episode 25: PACE Program Deep Dive ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.

E25: Deep dive into the PACE program with Dr Rob Schreiber and Eric Patzelt from myPlace Health (https://www.myplacehealth.com/). PACE Overview: Program of All-Inclusive Care for the Elderly provides comprehensive care for seniors, allowing them to live in the community rather than nursing homes. Eligibility: Seniors must be 55+, certifiable for nursing home care, and safe in the community with PACE services. Funding: PACE is funded by Medicare, Medicaid, and individual contributions, with high startup costs and a long-term recovery period. Revenue: PACE receives ~$9,500–11,000 PMPM for dual-eligible members and ~$7,000–8,000 for Medicaid-only members, higher than Medicare Advantage. Services Provided: Includes adult day care, primary care, home care, dental, therapy, nutrition, social work, and transportation. Target Demographic: Serves high-need populations with complex health issues and short life expectancy, helping to manage costs and reduce hospitalizations. Coverage: PACE covers all care aspects except direct housing costs unless in a nursing home, where it covers the non-Social Security portion. Handling Health Declines: Provides immediate care and support, including home visits and temporary nursing home placements. Technology Integration: Uses technology for communication, remote monitoring, and data analysis, especially accelerated by COVID-19. Financial Implications: PACE can save money in the long run by reducing hospitalizations and emergency visits, though initial costs are high. Enrollment: Participants can leave voluntarily or be involuntarily disenrolled due to death, loss of coverage, or moving out of the service area. Comparison to Medicare Models: PACE offers an integrated care model distinct from Medicare Parts A, B, C, and D, operating on a capitated model. Hospice Care: PACE provides comprehensive end-of-life care, but participants must disenroll from PACE to fully access hospice services. Social Work Role: Social workers in PACE advocate for participants, addressing needs and enhancing care through personal connections. Healthcare Innovation: Models like PACE demonstrate potential for improved care and outcomes, with ongoing support and adaptation crucial for success.

In this episode, host Janet Michael sits down with SueAnn Myers, the Executive Director of Blue Ridge Independence at Home, to discuss the new PACE (Program of All-Inclusive Care for the Elderly) program. Throughout the conversation, SueAnn explains the extensive services provided through PACE, which aims to help seniors aged 55 and older who are eligible for nursing home care but can live safely at home. SueAnn details how the program offers comprehensive, inclusive care for seniors, including transportation, medical care, personal care, home care services, dental, vision, and much more. The PACE program is designed to keep seniors in their homes safely, providing them with all necessary supports to ensure they do not end up in a nursing home unless absolutely necessary. She highlights how the program benefits the community by providing peace of mind to families and reducing absenteeism due to caretaking responsibilities. She also emphasizes the importance of social engagement for seniors, which the PACE program fosters through its day center and activities. SueAnn further explains that Blue Ridge Independence at Home is a sister organization to Blue Ridge Hospice, ensuring that the high quality, compassionate care the community trusts is extended through the PACE program. The discussion underscores the innovative and comprehensive nature of this program, which models the effective, holistic approach seen in hospice care. The episode concludes with details about an upcoming open house for the PACE program on September 28th, encouraging the community to visit and learn more about this groundbreaking service.

Get ready for another delightful episode of Next Steps 4 Seniors: Conversations on Aging! Wendy is thrilled to welcome Laura Melcher from Ascencion Living PACE to the show for an enlightening discussion on Affordable Care Solutions.  Have you ever heard of PACE? It stands for Program of All-Inclusive Care for the Elderly, and Laura's here to shed some light on this nationwide program. Are you feeling worried your loved one needs more support? Or perhaps they crave socialization and assistance with daily tasks while staying at home? Fear not! PACE might be the answer you're looking for. Covered by Medicare and Medicaid, each state has its own version of PACE. While Wendy and Laura zoom into the PACE program in Michigan, don't forget to explore what's available in your state! They'll take you on a guided tour through a typical day at a PACE program, and trust us, you will be amazed by the array of services offered. So, if you've been searching for an affordable solution, tune in now!  Make sure to download the episode and share it with someone who needs this crucial information on Affordable Care Solutions! We did some renovation with season 2 of Next Steps 4 Seniors: Conversations on Aging.  Check us out on our new platform: www.seniorresource.com.    Subscribe to our podcast on all your favorite podcast platforms so you don't miss an episode.  And there is more information on the Conversations on Aging Facebook page! Welcome to season 2! Do you have a question or need help?  Drop us an email at hello@nextsteps4seniors.com or call the Next Steps 4 Seniors office at 248.651.5010See omnystudio.com/listener for privacy information.

Have you ever thought about starting a coaching-based private practice? You're going to love this episode! I sat down with Emily Gavin who decided to take the leap into private practice with encouragement from her peers and spouse after being laid off from her job.In this episode, she talks about her journey from SNFs and inpatient rehab to owning her own dementia-focused business. Emily shares how caring for her mother-in-law with dementia inspired her special interest. Emily S. Gavin, MS, OTR/L, came to occupational therapy as a second career in 2012 at the age of 41. After a few years of clinical work in geriatrics, she transitioned into a management position at a Program of All-Inclusive Care for the Elderly (PACE) in Philadelphia, PA. This non-traditional setting allowed her the freedom to develop specialized knowledge in dementia care training, though she always felt the vulnerability of being a middle manager. Being laid off in May of 2023 seemed like the perfect time to start PhillyCare Coaching LLC, the private practice she'd always thought of as the next thing.Emily hopes to complete her Post-Professional OTD at Thomas Jefferson University in late 2025. She has also earned an Advanced Practice Certificate in Coaching, and will soon be a certified practitioner of Skills2Care®, an evidence-based program supporting caregivers of people living with dementia. She uses the Allen Cognitive Disabilities Model to inform her treatment plans.Emily lives in the Germantown section of Philadelphia with her wife and four cats. Someday she will have time to knit again.In Today's Episode, We Discuss:The moment that brought Emily to become an OT and start a private practiceWhen she realized her passion for dementia patientsHow she kicked imposter syndrome to the curbHow long it took Emily to get her first private practice clientThe types of clients Emily works withHow she networked to grow her private practiceThe power of referrals in growing your private practiceI hope you enjoyed this episode with Emily! I love how she overcame imposter syndrome and remained persistent in opening her private practice. If you would like to know more about our Programs and how we help YOU - just like we helped Emily - please visit www.IndependentClinician.com/resources.Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.Resources Mentioned: Visit Emily's website: https://phillycarecoaching.com/Follow Emily on Facebook: https://www.facebook.com/profile.php?id=100093197558689Follow Emily on Instagram: https://www.instagram.com/phillycarecoachingConnect with Emily on LinkedIn: https://www.linkedin.com/in/emily-s-gavin-ms-otr-l-94966454/Listen to her podcast:

  Sometimes it takes a village for a business to flourish. Discover ways to market your business with affinity partnerships and community involvement. All that and more in this episode!   Read the text version   Ask the Agent Survival Guide Podcast! Email us  ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Follow Us on Social!   Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance   Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/    Resources: 2024 CMS Compliance Regulation Updates for Agents ft. Alyson Seighman: https://link.chtbl.com/2023AlysonSeighman Are Your Medicare Marketing Materials Compliant? https://link.chtbl.com/ASG538 Community-Based Marketing for Insurance Agents: https://link.chtbl.com/ASG533 Community Engagement & ACA Marketing Suggestions for Agents: https://link.chtbl.com/ASG552 Do's and Don'ts of Medicare Compliance: https://link.chtbl.com/ASG542 Meet Your Sales Team: https://ritterim.com/meet-your-sales-team/ Medicare Advantage Open Enrollment Do's and Don'ts: https://link.chtbl.com/ASG574   Ritter Blog – Compliance Section: https://ritterim.com/blog/compliance/ Rules for Hosting a Compliant Medicare Sales Event: https://link.chtbl.com/ASG541 Rules for Hosting a Compliant Medicare Educational Event: https://link.chtbl.com/ASG540   References: Affinity Marketing Definition: https://www.techtarget.com/whatis/definition/affinity-marketing Complementary Business Definition: https://www.lawinsider.com/dictionary/complementary-business Medicare Marketing Guidelines: https://www.cms.gov/medicare/health-drug-plans/managed-care-marketing/medicare-guidelines Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly: https://www.federalregister.gov/documents/2023/04/12/2023-07115/medicare-program-contract-year-2024-policy-and-technical-changes-to-the-medicare-advantage-program

The Centers for Medicare & Medicaid Services's has a best kept secret.... But it shouldn't be a secret!!! Tune in to learn more about how physical therapists are utilized in a team-based care model in the Program of All-Inclusive Care for the Elderly (PACE) with Kelly Schroeder, a physical therapist and program director in Milwaukee, WI. This episode draws so much to light about addressing health disparities and social determinants of health. All primary care physical therapists should be aware of, and referring to, PACE programs in their region! Listen in to the Primary Care PT Podcast on Apple Podcasts, Spotify, or Youtube, or click the link in bio.

Join us for a compelling episode of the AI50 Connect with Peter Fitzgerald, an authority on the Program of All-Inclusive Care for the Elderly (PACE). In this concise yet comprehensive conversation, we explore the essence of PACE, its evolution as an alternative to traditional nursing homes, and the breadth of its care services, including medical, rehabilitation, and medication management. Peter elaborates on PACE's approach to challenges such as transportation, home living support, and financial aspects like eliminating co-pays and coverage gaps. Key to this episode is the discussion on the integration of AI into PACE, examining its current use in predictive analysis and remote monitoring, and the potential future advancements in senior care. This episode is a deep dive into how PACE is shaping the future of healthcare for the elderly.Follow Peter on LinkedIn: https://www.linkedin.com/in/peter-fitzgerald-850bbb/

Program of All-Inclusive Care for the Elderly (PACE)

Those wishing to make a public comment on “Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality,” a proposed rule by the Centers for Medicare & Medicaid Services, may do so here. Dr. Heaphy's slides are available here. This webinar will discuss the work of Dennis Heaphy on spiritual care in healthcare settings for individuals who are eligible for both Medicaid and Medicare coverage. It emphasizes the importance of coding chaplaincy services for these populations, particularly those enrolled in capitated care plans. Adapted from Heaphy's recent article in Health Affairs: Spiritual services are an oft neglected but important part of comprehensive care. While CMS and its Center for Medicare and Medicaid Innovation (the Innovation Center) have taken significant steps in the right direction, CMS could require providers in the Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs) and Program of All-Inclusive Care for the Elderly (PACE) to provide enrollees with spiritual assessments and spiritual care as optional services. We are joined by: Dennis Heaphy, DMin, MPG, MDiv, MEd joined the Disability Policy Consortium (DPC) in 2008. He engages in Community-Based Participatory Action Research and is also a policy analyst. He promotes legislation and policies at the state and federal level that positively impact social determinants of health. These and other barriers lead to inequities in healthcare access and outcomes for people with disabilities and ethnic and minority populations. Mr. Heaphy is active with the Massachusetts Public Health Association and Health Care for All, developing strategies to increase the utilization of public-health principles in the development, implementation and evaluation of healthcare policies. He is also active in a number of policy initiatives at the national level that increase the voices of persons most impacted by negative social determinants of health and gaps in access to home and community-based services. Mr. Heaphy is also interested in the role of spirituality and spiritual care in improving wellness and health outcomes for persons with disabilities. *** We thank our sponsor for this webinar, Interfaith America. Learn more at InterfaithAmerica.org.

Our friend Erin Steele, Director of Marketing and Enrollment, invites us to the PACE Your LIFE Center at the Milford Wellness Village to discuss this new and unique program. PACE stands for Program of All-Inclusive Care for the Elderly and has a mission of supporting individuals with comprehensive services that aim to help them maintain their independence. Our community isn't used to having access to such a robust program so this episode is a must listen - and share!

Robbie Felton is the Co-founder and CEO of Intus Care. Intus Care provides data and services to help integrated care programs improve outcomes for their patients in Medicare managed care. The company serves 25 health plans and care programs nationwide with tens of thousands of patients. Prior to Intus Care, he studied Public Health at Brown University Program of All-Inclusive Care for the Elderly (PACE) is a type of  home and community based service HCBS that provides medical services and supports everyday living needs for certain elderly individuals, most of whom are eligible for benefits under both Medicare and Medicaid. These services are provided by an interdisciplinary team of professionals. For example, a primary care physician, nurse, social worker, physical therapist, and dietitian are a few of the necessary members. Louise Aronson, MD MFA, is a leading geriatrician, writer, educator, professor of medicine at UCSF and the author of the New York Times bestseller and Pulitzer Prize finalist Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life. 

On this revisited episode of Beyond the Balance Sheet, we are joined by guest Anna Hall, the creator of The Purpose Equation®. Throughout this episode, we discuss the importance of purpose and defining your how and your why. Anna breaks down what purpose is, and how people can go about finding their purpose through her signature equation. Anna says that  knowing your purpose equation can determine how to move through life. She  believes people's purpose(s) can shift throughout their lifetime through different milestones. Later in the episode, Anna provides excellent advice for parents supporting their children to determine the child's purpose by getting  curious about their interests. Tune in today to learn about individual purpose and how to create meaning and joy in everyday life.     IN THIS EPISODE:     [1:50] What does the word “purpose” mean?   [3:23] What is the purpose equation? What are the components?   [6:37] How does the purpose equation translate to practical things?   [13:22] Is there a natural time when people re-define their purpose?  [16:15] What is the linkage between mental wellness and a sense of purpose?  [23:53] How do families and parents talk to their children about purpose?  [28:55] What is Anna's purpose?     KEY TAKEAWAYS:     Purpose is not something that you do. What you do is an output of who you are and your why.   Everyone has a purpose. Everyone has the power within themselves to make a difference in the world.   What does your child love? A parents' job is to help unpack WHYs in the activities your children love. Focus on having your child figure out WHO they are, not what they will do. Try to remove SHOULD.     BIO:  Anna was a teenager when she volunteered at a nursing home in her hometown of Hanover, NH. It turned out to be her first step along a 20-year course focused on improving quality of   life for older adults. Along the way she has deployed and managed programs, services, and technologies with that aim. As she gained experience, she developed enrichment programs for older adults living in All Inclusive Care for the Elderly (PACE), Continuing Care Retirement Communities (CCRC), independent, assisted living and memory care settings.    She led CCRC and Skilled Nursing engagement programming for Brookdale Senior Living, the largest senior-living provider in the country. At Connected Living – a social impact company dedicated to connecting older adults with community and family – Anna served as the Chief Purpose Officer. She informed all aspects of the business, from product development to sales to operations, and realized that she loved creating and consulting at the intersection of technology, engagement, and culture. Throughout her career, she has witnessed how purpose builds resilience and improves wellness. Her mission has become helping people define and activate their purpose – in life and work.     In 2018, Anna began building The Purpose Equation®, an evidence-based framework that guides individuals to discover their unique Purpose. The Purpose Equation® LLC launched in July 2021. The framework she invented is the basis for programs and workshops that are designed to identify purpose, spark joy, and personal growth – at any age and in every moment.    Anna Hall's LinkedIn    The Purpose Equation Website 

  CMS published their 2024 Medicare Advantage and Part D Final Rule. This episode of the Agent Survival Guide Podcast has the key takeaways for insurance agents. We'll help you prepare early so you'll be compliant when the rules go into effect for AEP 2024! Read the text version   Compliance questions? We have answers! Send your questions to our compliance team: complianceofficer@ritterim.com   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ and Instagram, https://www.instagram.com/thesarahjrueppel/ Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Resources: Behind the Scenes of the ASG Podcast Redesign: https://agentsurvivalguide.podbean.com/e/behind-the-scenes-of-the-asg-podcast-redesign/ CMS 2024 MA and Part D Rate Announcement, Medicaid Redeterminations, & the 27th Webby Awards: https://agentsurvivalguide.podbean.com/e/cms-2024-ma-and-part-d-rate-announcement-medicaid-redeterminations-the-27th-webby-awards/ Cultivating Growth in Your Insurance Agency and Life: https://agentsurvivalguide.podbean.com/e/cultivating-growth-in-your-insurance-agency-and-life-monday-motivation/ Empower Your Prospects to Act Before Turning 65: https://agentsurvivalguide.podbean.com/e/empower-your-prospects-to-act-before-turning-65/ Generate Medicare Leads Using Marketing Materials From ShopRitterIM: https://agentsurvivalguide.podbean.com/e/generate-medicare-leads-using-marketing-materials-from-shopritterim/   References: 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F): https://www.cms.gov/newsroom/fact-sheets/2024-medicare-advantage-and-part-d-final-rule-cms-4201-f CMS 2024 Final Rule for Medicare Advantage and Part D: https://public-inspection.federalregister.gov/2023-07115.pdf Medicare Advantage Communication Requirements: https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-422/subpart-V Medicare Communications and Marketing Guidelines: https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/FinalPartCMarketingGuidelines Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly: https://www.federalregister.gov/documents/2023/04/12/2023-07115/medicare-program-contract-year-2024-policy-and-technical-changes-to-the-medicare-advantage-program Part D Communication Requirements: https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-423/subpart-V

PACE (Program of All-Inclusive Care for the Elderly) programs provide comprehensive medical and social services for older adults who wish to stay active and engaged in their home and community setting rather than reside in a skilled care nursing home. With fees provided by Medicare and Medicaid, PACE programs are nationwide with locations in 32 states and serving more than 60,000 older adults. In this episode host Frances S. Hall Founder and Executive Director of ACAPcommunity is joined by AJ Kerley, Director of Professional Relations at PACE@Home, Hickory, NCThis episode of The Caregiver Community is made possible by our sponsor, Pace @ Home in Hickory, NC.AJ Kerley is the Director of Professional Relations at PACE@Home, Hickory, NC. AJ has worked in various aspects of health care for her entire career, helping seniors and their caregivers access community resources, develop plans of care and flourish in their chosen environments. She has been involved with PACE for 7 years. Full transparency, PACE in Hickory is the sponsor for all our ACAP podcasts, and we are extremely grateful for their affirmation of ACAP and support of our podcasts.While providing care for her mother, Frances S. Hall, Founder, and Executive Director of ACAPcommunity began ACAP as a monthly educational support program for fellow faculty and staff on a small NC university campus, then transitioned the program into a nationally unique, community-impact nonprofit model in 2012. With a master's degree in higher education administration and a 30+-year career in higher education and nonprofits, Frances continues to lead the growing organization as it continues to provide information, resources support, and community for adult children and others who care for older loved ones. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Changes are on the horizon for provisions of the Program of All-Inclusive Care for the Elderly (PACE) that haven't been updated in over a decade. What exactly is PACE and how will new proposed rule modifications affect PACE plans moving forward? On this episode, special guest Wendy Edwards, Director of Internal Operations at BluePeak Advisors, and Epstein Becker Green attorneys Lynn Shapiro Snyder, Kevin Malone, and Helaine Fingold explore the ins and outs of PACE, the changes in recent years that have made PACE available to for-profit companies, and the specifics of the provisions in the pending federal proposed rule.   Visit our site for related resources and email contact information: https://www.ebglaw.com/dhc56.   Subscribe for email notifications: https://www.ebglaw.com/subscribe.   Visit: http://diagnosinghealthcare.com.   The EMPLOYMENT LAW THIS WEEK® and DIAGNOSING HEALTH CARE podcasts are presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

  The Friday Five for January 6, 2023: NAHU is now NABIP The Great Medicaid Uncoupling CMS CY 2024 MA and PDP Leads Proposal State of the Senior Market 2023 The Joy Workout and Other Mental Health Tips   Attend Ritter's State of the Senior Market 2023   Follow Us on Social!   Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ and Instagram, https://www.instagram.com/thesarahjrueppel/ Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Resources:   5 Things About CMS' CY 2024 MA and Part D Proposed Rule: https://agentsurvivalguide.podbean.com/e/5-things-about-cms-cy-2024-ma-and-part-d-proposed-rule-the-friday-five/ Register for Ritter's State of the Senior Market Event: https://www.ritterim.com/sotsm/   References:   10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Requirement: https://www.kff.org/medicaid/issue-brief/10-things-to-know-about-the-unwinding-of-the-medicaid-continuous-enrollment-requirement/ Consolidated Appropriations Act, 2023: https://rules.house.gov/sites/democrats.rules.house.gov/files/BILLS-117hr2617eas2.pdf From telehealth to Medicare cuts: Here are the health policies in Congress' $1.7T omnibus: https://www.fiercehealthcare.com/providers/telehealth-medicare-cuts-here-are-health-policies-congress-17t-omnibus Medicare Advantage Managers Propose 2024 Ban on Lead Sales: https://www.thinkadvisor.com/2022/12/16/medicare-advantage-managers-propose-2024-ban-on-lead-sales/ Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, Medicare Parts A, B, C, and D Overpayment Provisions of the Affordable Care Act and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications: https://public-inspection.federalregister.gov/2022-26956.pdf National Association of Benefits & Insurance Professionals (NABIP) Name Change Info: https://nabip.org/chapter-resources/hod/name-change NAHU Proposed Rebranding: https://nabip.org/media/7283/nahu-rebranding-final.pdf Small Steps to Improve Your Mental Health in 2023: https://www.nytimes.com/2022/12/26/well/mind/mental-health-advice-2023.html The Joy Workout: https://www.nytimes.com/2022/05/24/well/move/joy-workout-exercises-happiness.html Why Democrats warmed to severing Medicaid eligibility from the Covid public health emergency: https://www.politico.com/news/2022/12/19/democrats-medicaid-covid-00074563  

  CMS just released the Contract Year 2024 Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule. Listen for our initial take on these policy and technical changes and what they mean for independent insurance agents like you!   Register for your FREE RitterIM.com account   Follow Us on Social!   Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ and Instagram, https://www.instagram.com/thesarahjrueppel/ Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   References:   Contract Year 2024 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule (CMS-4201-P): https://www.cms.gov/newsroom/fact-sheets/contract-year-2024-policy-and-technical-changes-medicare-advantage-and-medicare-prescription-drug CMS releases the 2024 Medicare Advantage Proposed Rule: What it means for Star ratings, prior authorization, and marketing requirements: https://www.risehealth.org/insights-articles/cms-releases-the-2024-medicare-advantage-proposed-rule-what-it-means-for-star-ratings-prior-authorization-and-marketing-requirements Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, Medicare Parts A, B, C, and D Overpayment Provisions of the Affordable Care Act and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications: https://public-inspection.federalregister.gov/2022-26956.pdf Medicare Program: Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, etc.: https://www.federalregister.gov/public-inspection/2022-26956/medicare-program-contract-year-2024-policy-and-technical-changes-to-the-medicare-advantage-program  

Louise Aronson, MD MFA, is a leading geriatrician, writer, educator, professor of medicine at UCSF and the author of the New York Times bestseller and Pulitzer Prize finalist Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life.  A graduate of Harvard Medical School, Louise has received the Gold Professorship in Humanism in Medicine, the California Homecare Physician of the Year award, and the American Geriatrics Society Clinician-Teacher of the Year award. Her current work is focused on expanding geriatric care and public perceptions of old age to more accurately attend to the decades and diversity of elderhood, developing innovative programs and practices to empower older adults to retain agency and maximize wellness as they age.  At UCSF, Louise has served as director of the Pathways to Discovery program, the Northern California Geriatrics Education Center, the Optimizing Aging Project, and as Chief of Geriatrics Education. Her writing credits include the New York Times, Atlantic, Washington Post, Discover, Vox, JAMA, Lancet, and the New England Journal of Medicine, and she has been featured on TODAY, CBS This Morning, NPR's Fresh Air, Morning Edition, Politico, Kaiser Health News, Tech Nation and the New Yorker.  Robbie Felton is the Co-founder and CEO of Intus Care. Intus Care provides data and services to help integrated care programs improve outcomes for their patients in Medicare managed care. The company serves 25 health plans and care programs nationwide with tens of thousands of patients. Prior to Intus Care, he studied Public Health at Brown University Program of All-Inclusive Care for the Elderly (PACE) is a type of  home and community based service HCBS that provides medical services and supports everyday living needs for certain elderly individuals, most of whom are eligible for benefits under both Medicare and Medicaid. These services are provided by an interdisciplinary team of professionals. For example, a primary care physician, nurse, social worker, physical therapist, and dietitian are a few of the necessary members.

Reid PACE with Krista & Marie (09/08/2022) - Ray talks to an Enrollment Specialist & a Physical Therapist about Reid's Program of All-Inclusive Care for the Elderly in this paid interview.

Today's guest is Anna  Hall, the creator of The Purpose Equation®. Throughout this episode, we discuss the importance of purpose and defining your how and your why. Anna breaks down what purpose is, and how people can go about finding their purpose through her signature equation. Anna says that  knowing your purpose equation can determine how to move through life. She  believes people's purpose(s) can shift throughout their lifetime through different milestones. Later in the episode, Anna provides excellent advice for parents supporting their children to determine the child's purpose by getting  curious about their interests. Tune in today to learn about individual purpose and how to create meaning and joy in everyday life.     IN THIS EPISODE:     [1:50] What does the word “purpose” mean?   [3:23] What is the purpose equation? What are the components?   [6:37] How does the purpose equation translate to practical things?   [13:22] Is there a natural time when people re-define their purpose?  [16:15] What is the linkage between mental wellness and a sense of purpose?  [23:53] How do families and parents talk to their children about purpose?  [28:55] What is Anna's purpose?     KEY TAKEAWAYS:     Purpose is not something that you do. What you do is an output of who you are and your why.   Everyone has a purpose. Everyone has the power within themselves to make a difference in the world.   What does your child love? A parents' job is to help unpack WHYs in the activities your children love. Focus on having your child figure out WHO they are, not what they will do. Try to remove SHOULD.     BIO:    Anna was a teenager when she volunteered at a nursing home in her hometown of Hanover, NH. It turned out to be her first step along a 20-year course focused on improving quality of   life for older adults. Along the way she has deployed and managed programs, services, and technologies with that aim. As she gained experience, she developed enrichment programs for older adults living in All Inclusive Care for the Elderly (PACE), Continuing Care Retirement Communities (CCRC), independent, assisted living and memory care settings.    She led CCRC and Skilled Nursing engagement programming for Brookdale Senior Living, the largest senior-living provider in the country. At Connected Living – a social impact company dedicated to connecting older adults with community and family – Anna served as the Chief Purpose Officer. She informed all aspects of the business, from product development to sales to operations, and realized that she loved creating and consulting at the intersection of technology, engagement, and culture. Throughout her career, she has witnessed how purpose builds resilience and improves wellness. Her mission has become helping people define and activate their purpose – in life and work.     In 2018, Anna began building The Purpose Equation®, an evidence-based framework that guides individuals to discover their unique Purpose. The Purpose Equation® LLC launched in July 2021. The framework she invented is the basis for programs and workshops that are designed to identify purpose, spark joy, and personal growth – at any age and in every moment.    Anna Hall's LinkedIn    The Purpose Equation Website 

Jeffrey Mosher welcomes Sarah Milanowski L.M.S.W., Manager of Enrollment & Marketing & Jennifer Haak, LBSW, Behavioral Health Clinician LifeCircles PACE, Muskegon, MI. CIT Training · LifeCircles PACE (Program of All-Inclusive Care for the Elderly) has been assisting in Crisis Intervention Training, along with multiple community partners, to equip law enforcement for responding to individuals experiencing a behavioral crisis. · Being a partner involved with CIT training has been important to the organization's mission and helped the greater community with how to react to these types of situations. · The training utilizes a community partnership made up of law enforcement, mental health professionals, and others who navigate non-criminal crises that may be related to mental health or other unmet needs. · CIT was brought to West Michigan by HealthWest, with the first training held last February. LifeCircles joined as a partner among other community organizations such as DHHS, AgeWell Services, and more · Every three months, 16 officers graduate from the CIT training. The program is an intensive 40-hour week that consists of modules focused on ways to deescalate situations related to mental health, substance abuse, geriatric care, and more. · A dementia diagnosis can be challenging for the individual and their loved ones, but LifeCircles is making it a priority to show that there are ways to provide respectful engagement to enhance quality of life for those impacted by dementia About LifeCircles PACE: At LifeCircles PACE, we believe living at home matters to older adults, because we know it matters to you. Our program is unique in its simplicity and common-sense approach to senior care. LifeCircles has provided an in-home alternative to traditional nursing home living since 2009. We provide peace of mind and support to seniors and their caregivers by providing all-inclusive medical and support services in-homes and at our day centers. For more information, visit our website: www.lifecircles-pace.org.

We're live with Dr. Brian Cruz medical director of PACE GNO (Program of All-Inclusive Care for the Elderly in Greater New Orleans) joins us to talk about the importance of this program, Josie Duke talks about Pentecost and Anthony DeStefano talks about his book How the Angels Got Their Wings.

That's PACE, as in "Program of All-Inclusive Care for the Elderly."

PACE: Program for All-Inclusive Care for the Elderly "This [PACE] is what kind of program I want to work in. This is what is needed." Sonja Felton Executive Director, Huron Valley PACE This is an episode about a program that helps caregivers. I recently learned about a program that more people should know about. It's called PACE: Program for All Inclusicve Care for the Elderly. PACE (Program of All-Inclusive Care for the Elderly) is a unique health plan and care provider, committed to keeping aging adults with challenging healthcare conditions in their home, by caring for their medical, physical and social needs. Caregivers describe PACE as a massive relief - 97% who use it recommend it to others.  People I interviewed about PACE love PACE. It reminds me of the way people talk about hospice. They love it and are so grateful to have found the program. In both cases I think what they love is the coordination of care. The fact that everyone communicates and it isn't the caregivers job to be the lonely hub of communication for everything. The typical PACE participant is similar to the average nursing home resident. The typical participant is an 80-year-old woman with eight medical conditions and limitations in three activities of daily living. Nearly half (49 percent) of PACE participants have been diagnosed with dementia. Despite a high level of care needs, more than 90 percent of PACE participants are able to continue to live in their community. https://www.npaonline.org/policy-advocacy/value-pace Free Course: "Estate Planning for Aging Parents" Cindy Pierce: Author, Storyteller, Inn-Keeper, Caregiver "Everyone talks a big game about aging in place. I love the idea, but why it worked for previous generations is because usually the mom was not working and at home taking care of kids. And then the kids could take care of themselves, so she took care of the aging parent. We're both working. Our kids are off doing all sorts of things - like, we're not around at home." Cindy Pierce Cindy Pierce is the funniest person I know. In this podcast episode about caregiving and PACE, Cindy tells a really funny story about her time caring for her mom. I love Cindy because she uses humor to talk about the hardest topics.  Cindy Pierce is a social sexuality educator, storyteller and author of Sexploitation: Helping Kids Develop Healthy Sexuality in a Porn-Driven World and Sex, College and Social Media: A Commonsense Guide to Navigating the Hookup Culture. Combining comic storytelling and years of research, she engages audiences with her message about making healthy choices and navigating cultural pressures. Cindy encourages educators to engage in conversations with students about the influences of social media, Internet porn and hookup culture. Young people are struggling more than ever to feel at ease, worthy and relevant as they attempt to find balance with all realms of their busy lives. Cindy and her husband, Bruce Lingelbach have three young adults and run Pierce's Inn in Etna, N.H. Credits and Thank You Thank you to Sonja Felton from Huron Valley PACE, Robert Greenwood from The National PACE Association, and Stephanie Winslow from the PACE Association of Michigan. Thank you to Pat Cupples and Hotels and Highways for your original music. Thank you to Cindy Pierce for sharing stories about the time she spent as a caregiver. Photo: Ricardo Gomez Angel on Unsplash

The Keep up with PACE podcast, hosted by Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, brings strategies and best practices focusing on growing Programs of All-Inclusive Care for the Elderly (PACE) to the forefront. PACE is one of the best models of care for the frail elderly, and the podcast will feature interviews with expert PACE professionals. 

If you've done any work in the fields of Geriatrics Medicine or Healthy Aging, you've almost certainly come across Jennie Chin Hansen, my guest on today's episode. Jennie is the former President of AARP, the former CEO of the American Geriatrics Society and currently a Board Member of the SCAN Health Plan (which funds the Healthy Skeptic, MD Podcast). Jennie also spent 25 years as a nurse leader at the San Francisco-based On Lok program developing creative care models for older adults, including the Program for All-Inclusive Care for the Elderly (PACE), which has become a national Medicare program. In today's episode, Jennie and I discussed what the next several years may look like for the field of Geriatrics and the care of older adults.

In this week's episode of Tuning In to the C-Suite podcast, Briana Contreras of MHE chatted with Daniel Drake, president and CEO of Trinity Health PACE, or Programs of All-Inclusive Care for the Elderly. Dan and Briana discussed the specifics of how PACE has grown in recent years, the outlook for these programs in the future and how PACE is benefitting older patients' wellbeing and their healthcare costs. 

For many of us within the healthcare industry, the greatest crisis looming before us is not the risk of infectious disease, but a rapidly aging and frail population. Over the next 40 years, the number of Americans 65 and older will double to 80 million. Over the same period, adults aged 85 and older, who are often in the most need of basic personal and clinical care, will nearly quadruple. As congregative retirement communities are hit hard by COVID-19, and the evidence builds for a whole-person care approach to medicine, the argument for Programs for All Inclusive Care of the Elderly (PACE) has never been stronger. John sits down with the founder and CEO of one of the fastest growing PACE companies in the US, Edenbridge Health, to discuss the program's many virtues and Edenbridge's unique PACE and PACE-Lite business models.

In this episode of “Let Me Say This About That” Marla and Mary explore the conversation that took place between Susan Ryan and Shawn Bloom, the CEO of the National PACE Association (NPA) in Episode 109 of Elevate Eldercare. PACE, or the Program for All-Inclusive Care for the Elderly is community-based and provides a comprehensive set of services designed to prevent unnecessary admissions to nursing homes – an imperative that only became more urgent during the pandemic. Marla discusses NPA and how capitated payments are utilized vs. a fee-based system.  She also talks about an article that Shawn authored on PACE that included outcomes over the past year and a look at their future 2.0 plans.  Mary shares Green House 2.0 – Cultural Transformation and the impact it has had on Green House adopters. She also delves into how similar the history of NPA matches the Green House Project's Peer Network over the years.  Lofty goals were set by GHP and continue to part  of the organization, including a recent re-branding and intention on making sure members “Connect, Engage, Impact” the Green House model moving forward.   And finally, Marla takes us on a deep look at why some people and organizations are seemingly more creative and innovative than others.   You'll be surprised by her research, and it may give you pause on how you feel about change, creativity, and innovation!   Fact Sheet on the Nursing Home Accountability and Improvement Act of 2021: https://blog.thegreenhouseproject.org/wp-content/uploads/2021/08/Small-Home-Pilot-Program-Fact-Sheet.pdf Template to write a letter to your legislator: https://blog.thegreenhouseproject.org/wp-content/uploads/2021/08/Small-Home-Demonstration-Program-Advocacy-Template.pdf Beckhard-Harris Change Equation: https://www.businessballs.com/change-management/formula-for-change/ Learn more about The Green House Project:  www.thegreenhouseproject.org

COVID-19 continues to spur loud calls for expanded home- and community-based services for elders, which are too often lacking in many parts of the country. But there's an already powerful blueprint that organizations have followed, gradually but steadily, for decades: PACE, or Program for All-Inclusive Care for the Elderly. Across the United States, community-based PACE organizations provide a comprehensive set of services designed to prevent unnecessary admissions to nursing homes – an imperative that only became more urgent during the pandemic. This week on “Elevate Eldercare,” Susan Ryan welcomes Shawn Bloom, CEO of the National PACE Association, to discuss his journey from working as a nursing home aide in high school to serving as a powerful policy voice for elders. Bloom shares some major PACE successes achieved during the pandemic, and invites eldercare leaders from across the spectrum to rethink the ways that their services can play into a more person-centered ecosystem for elders.   Connect with Shawn Bloom on LinkedIn: https://www.linkedin.com/in/shawn-bloom-1310887/ Learn more about the National PACE Association: https://www.npaonline.org/ Dive into the PACE Plus Act: https://www.aging.senate.gov/imo/media/doc/PACE%20Plus%20Act%20one%20pager.pdf Show notes/call to action: Learn more about The Green House Project: www.thegreenhouseproject.org

Stephen Gordon has dedicated his career to improving eldercare services and supports, and during his time as a geriatrician and educator, he observed a trend among his fellow travelers: People tend to fall in love with a specific reform idea or organization, and then have trouble seeing the potential for connections and overlap with other novel models. As the CEO of Edenbridge Health, Gordon hopes to build on the firsthand successes he saw working for a Program of All-Inclusive Care for the Elderly (PACE) organization in Boston, taking the best parts of PACE and finding creative ways to tailor the model to local markets and individual elders' needs. In this edition of “Let Me Say This About That”, Marla and Mary take a closer look at six principles for Edenbridge Health and how they so closely align with the Green House Core Values.  Gordon talked so often about his mentors, Marla explores what mentorship is all about and Mary explains how it has always been a vital part of the Green House model. Sit back and enjoy this episode with your favorite cup of coffee or tea!   The Science of Mentoring Relationships – What is Mentorship?: https://www.ncbi.nlm.nih.gov/books/NBK552775/ The Power of Mentorship: https://www.forbes.com/sites/forbescoachescouncil/2020/09/03/the-power-of-mentorship/?sh=621388e67438 Learn more about the Pass It On Network: https://www.passitonnetwork.org/our-global-network/

Stephen Gordon has dedicated his career to improving eldercare services and supports, and during his time as a geriatrician and educator, he observed a trend among his fellow travelers: People tend to fall in love with a specific reform idea or organization, and then have trouble seeing the potential for connections and overlap with other novel models. As the CEO of Edenbridge Health, Gordon hopes to build on the firsthand successes he saw working for a Program of All-Inclusive Care for the Elderly (PACE) organization in Boston, taking the best parts of PACE and finding creative ways to tailor the model to local markets and individual elders' needs. Gordon talks with Susan Ryan about his vision for truly all-encompassing eldercare programs – with a particular focus on realizing that no one model will fit every elder's needs at any given time – as well as the importance of seeking out mentors who are unafraid to critique and challenge your ideas in the service of creating true change.   Connect with Gordon on LinkedIn: https://www.linkedin.com/in/stephen-gordon-b032751/ Learn more about the Edenbridge model: https://www.edenbridgehealth.org/ Show notes/call to action: Learn more about The Green House Project: www.thegreenhouseproject.org Register for GHP's newest in-person and virtual event, DementiaVerse: thegreenhouseproject.org/events/dementiaverse  

Jennie Chin Hansen's career in aging services has taken her from a community operation in San Francisco's Chinatown to the presidency of AARP, all underpinned by a desire to view aging through a more holistic lens than the often one-size-fits-all institutional model.  Hansen's work as CEO of On Lok, an organization formed to care for Chinese American elders in San Francisco, helped inform the creation of the federal Program for All-Inclusive Care for the Elderly, or PACE. Susan Ryan sat down with Hansen to discuss PACE's incredible results and still-unlocked potential, as well as her personal history with On Lok and the need to understand the deep connections linking race, ethnicity, and elders' needs as they age.  In this episode of “Let Me Say This About That,” Marla and Mary discuss a number of topics Jennie mentioned during her interview.  Mary takes a closer look at the Great Society and why Jennie placed the creation of On Lok within the context of that program. Marla explores the “geriatric day hospital” model in the U.K., as well as the definition of ethnogerontology and why it is important.  We discuss the “On Lok Playbook” and how it relates to the Green House model. And when serendipity occurs – what do you do with it?     Read about Ethnogeriatrics here:  https://geriatrics.stanford.edu/culturemed/overview/introduction/theories.html Learn more about The Great Society: https://www.history.com/topics/1960s/great-society

Reid Health's PACE Program Krista Gibson & Jason Woods (06/10/2021) - Kelley & Ray talk with some experts about Program of All-Inclusive Care for the Elderly (or PACE), which allows people to maintain their independence in their own home.

Susan Ryan sat down with Roger Myers, president and CEO of Presbyterian Villages of Michigan (PVM). In this recap, Marla and Mary discuss how Roger became an early adopter of the Green House model, opening two homes in Redford, Mich.  Mary discusses why Myers was so amazed during the ceremony that was conducted when they turned the house over to the Shahbazim and elders. In addition, we look at how a PVM board of director member helped convince the union leaders about the importance of bringing the Green House model and empowered staff to their community. Marla takes a deep dive into the Program for All Inclusive Care of the Elderly, or PACE, model, taking a look at its history, mission and scope of work. Roger believes PACE holds much promise for the future of senior living. Marla explores Myers’ comment about willing to take a risk as a leader and his appreciation for the PVM Board of Directors’ ability to take measured, informed risks. She discusses the contents of an article entitled, “To Foster Innovation, Cultivate a Culture of Intellectual Bravery.” In addition, Mary and Marla offer some trivia for listeners. Hint: it has to do with the total number of podcasts produced to date. Mary was not even close with her response!   Read about the PACE program here:  https://www.biophilicinstitute.com/ To Foster Innovation, Cultivate a Culture of Intellectual Bravery: https://hbr.org/2020/10/to-foster-innovation-cultivate-a-culture-of-intellectual-bravery Information on the Green House Dementia Symposium here:  https://files.constantcontact.com/e3eea0f5101/40485654-7e2c-4c75-8197-cd3b59f3dfec.pdf

Emily Brown’s commitment to helping people access equitable quality care was inspired by her watching a loved one navigate the health care system after being diagnosed with an illness. Listen as Emily shares how professional caregiving has been a constant theme woven throughout her career working at the Program for the All-Inclusive Care for the Elderly (PACE), Williamsburg Convalescent Center and Patient Advocate Foundation for the last 8 years. She shares about the mindset and approach she developed to consistently provide care with compassion. Visit our website to explore show notes, additional episodes and our mission: http://bit.ly/NPAFpod Connect with us on social media!Twitter: @NPAF_Tweets: http://bit.ly/NPAFtwitter Instagram: @Patient_Advocates: http://bit.ly/NPAFinstagram Facebook: National Patient Advocate Foundation: http://bit.ly/NPAFfacebook

Peter Fitzgerald, National Pace Assn.This week on the podcast we continue our exploration of ways to help people age at home and stay out of nursing homes. Covid-19 had taken the lives of 182,000 people in nursing homes, assisted living and other long-term care facilities . . . one-third of the national total. The troubles have intensified a spotlight on long-running questions about how communities can do a better job supporting people who need care but want to live outside an institutional setting. That question generates a big list of challenges for communities, health care systems and policymakers.I wrote about this topic in a story for the New York Times several weeks ago, and I’ve been following it up with a series of conversations on the podcast.My guest this week is Peter Fitzgerald. Peter is executive vice president for policy and strategy at the National PACE Association. PACE stands for Programs of All-Inclusive Care for the Elderly. This is a unique, innovative program that recipes its funding from both Medicaid and Medicare. PACE provides medical and social services that allow frail seniors to live independently. It serves about 55,000 people in 30 states around the country. Most are low income and eligible for both Medicare and Medicaid. PACE is available only in states that decide to offer it. But the program is poised for a possible dramatic expansion. The American Rescue Act, passed by Congress in March, raises the federal share of states’ spending on home and community-based services by $12.7 billion over the coming year, and PACE is among the eligible programs. More recently, Senator Casey (D-PA) introduced legislation that aims specifically to expand PACE.And the Biden administration’s proposed infrastructure plan includes a $400 billion expansion in Medicaid funding for home-based care. Some of that money could find its way to PACE programs. That would allow it to expand . . . not only in terms of the number of seniors served, but also beyond the primarily low-income population PACE serves now.I asked Peter to explain how PACE works, and why it often is a superior option to institutional care. We also talked about the prospects for expansion. If you’re interested in finding a PACE program where you live, check out the association’s online guide to programs around the country.Listen to the podcast by clicking the player icon at the top of the newsletter. The podcast also can be found on Apple Podcasts, Spotify and Stitcher.Medicare Out-of-Pocket Costs: How Do Enrollees Get Protection?Medicare smooths out much of the variation in the healthcare expenses that seniors incur -- but out-of-pocket costs can be high if you’re not careful.Most Medicare enrollees blunt out-of-pocket risk one way or another. According to new research by the Kaiser Family Foundation, 39% were enrolled in Medicare Advantage plans in 2018; these managed-care commercial alternatives to Original Medicare have built-in caps on out-of-pocket outlays. The rest are enrolled in traditional Medicare, which does not have a built-in out-of-pocket cap. Most of these enrollees get out-of-pocket protection from Medigap, retiree coverage or Medicaid. But 10% of Medicare enrollees have no protection from this risk. They’re in traditional Medicare but have no supplemental coverage.That is a worrisome finding. This year, an Original Medicare beneficiary without supplemental coverage is subject to a deductible of $1,484 for an inpatient hospitalization plus daily copayments for extended hospital and skilled nursing facility stays. There’s also a separate deductible of $203 plus 20% coinsurance for most physician and other outpatient services, including for drugs administered by physicians for cancer and other serious medical conditions.Advantage plans, meanwhile, are required by law to cap annual out-of-pocket expenses: In 2020, the average cap was $4,925 for in-network services, according to Kaiser, while the cap for out-of-network services is much higher, at $8,828. In Original Medicare, the average out of pocket spending among traditional Medicare beneficiaries in 2018 was $6,150, according to unpublished Kaiser data. That figure includes premiums and out-of-pocket outlays for uncovered services (such as dental, vision, and hearing care). Here’s a summary I put together summarizing Medicare’s out-of-pocket structure. As you can see, it’s quite a patchwork:I explore the implications of this patchwork of out-of-pocket protections in my latest Morningstar column.Subscribe to the newsletterYou’re subscribed to occasional, short posts sent to my free list. Sign up for the paid edition to receive my weekly in-depth report, plus online access to my series of retirement guides. This is a public episode. Get access to private episodes at retirementrevised.substack.com/subscribe

In this episode, AJ Kerley shares about a fantastic resource for people over 55--PACE at Home, a non-profit, nationally recognized health care model known as the Program of All-Inclusive Care for the Elderly. If you are over 55 or you have a loved one who is over 55, you don't want to miss this episode. AJ talks about how she met her husband and moved to Statesville, she shares about her precious little girl (who has become her Zoom assistant during the pandemic), and she discusses her passion of educating people about PACE at Home, an incredibly valuable resource for the community.PACE at home enables people over 55 to bypass a nursing home and instead receive managed health care and services in their own homes. The overall objective of this organization is to allow each senior to achieve the highest quality of life possible while living at home. Services include: adult day care (which looks very different currently due to COVID), medical care, dental, vision, hearing, and foot care, meal planning and nutrition services, skilled nursing services, prescribed medications, social services, respite care, physical therapy, occupational therapy, and speech therapy, recreational and social activities, transportation to health-related appointments, hospital care, emergency services, and nursing facility care.If you'd like to speak to AJ to get more information on PACE at Home, here is how to contact her and the organization:AJ Kerley, Director of Professional RelationsPACE @ Home1915 Fairgrove Church Road SE, Newton NC 28658Office: 828-468-3980Mobile: 828-446-7731Fax: 828-464-2845www.pace-at-home.orgInformation regarding our Podcast Sponsors: Mike Bagwell with Enders Insurance can be reached:· via email MBagwell@EndersInsurance.com · on his cell (704) 489-3650 · Facebook https://www.facebook.com/MikeBagwellEndersInsuranceAdvisor· on LinkedIn www.linkedin.com/in/mikebagwellriskmanager/ Hanna Schoenrock, the owner of WriteWell Services, can be reached: · via email hanna@writewellservices.com · on her cell (704) 956-6523 · on Facebook https://www.facebook.com/WriteWellServices · on LinkedIn https://www.linkedin.com/in/hanna-schoenrock/ Buzzsprout - Let's get your podcast launched! Start for FREEDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.

Episode 51 - Choosing the best senior living option for your mom or dad can feel overwhelming. Many of us expect the answer will be obvious – if our Mother is suffering from Dementia, for instance, the time will come when she needs to engage in Memory Care. Or, if our Dad has been diagnosed with Parkinson’s, we know he might need assisted living or maybe he prefers home care instead? The truth is, though, that the right choice isn’t usually in front of our eyes. More often than not, it’s the little things – like that time Dad complained about the single stair in his shower, or the time Mom forgot to feed the dog – that indicate it’s time to look into care options. In those less obvious cases, choosing between so many different types of care might feel daunting. What’s the difference between assisted living and a nursing home? Are there ways my parent can continue to live independently? Do I have to hire a full-time caregiver? Does my mom really need that extra help? In today’s episode, we’ll break down the options for you – so that this new and treacherous landscape can transform into something simple and comprehensible. When you understand your options, you can make a much more informed decision – without worrying that you might be missing something. We’ll discuss assisted living, nursing homes, memory care, home care, and even whether moving Mom or Dad in with you is an ideal option. We’ll also talk about independent living – and ways to stretch that period out for your parents, while still giving them the help they need. Before we get into all that, though, let’s get into the signs that it might be time for more help in the first place. You can begin by analyzing your parents’ overall physical health. If your parent is in great physical shape, then their options might be a lot more open. If you notice changes or problems in their health, though, you don’t want to wait to consult a doctor and start planning your next steps. Physical health is nothing to mess around with and must be a priority. If you can visit with your parent, take the time on your next trip to absorb their behavior and look for any signs of health changes. Observe details like weight, sleep patterns, and possible injuries. Has your mom lost a surprising amount of weight lately? If she looks thinner than usual, this could indicate that she’s been forgetting to eat. It could also be a sign of something more serious – like cancer, dementia, or depression. If you notice dramatic weight changes, you shouldn’t wait to get your parent to a doctor. When the reason for the weight loss is determined, not only can your mother begin treatment – but together, you can decide the best care option. If this is an early sign of dementia, for instance, you can think about Memory Care. If it’s a medical condition like cancer, your doctor will help you find the most suitable care. If your parent’s weight is about the same – that’s a great sign. It’s possible that your mother can continue to live independently. Still, there are other – equally important - factors to consider. Once you’ve analyzed your parents’ weight, find out how they’ve been sleeping. Have you noticed that your dad has been falling asleep at the couch more often, or taking a long time to get out of bed morning? In a non-confrontational, conversational manner, ask him if he’s had any trouble sleeping lately. Has he missed early morning appointments or been consistently late due to sleeping in? This could be a sign that he’s struggling to fall asleep at night. Has he been taking “naps” during the day that tend to last for hours? Does he seem lethargic or is he alert? Changes in sleep patterns are a sign that physical health might be declining. Dad could be losing sleep because of new aches or pains in his body, or because he is just generally slowing down. If you notice that your mom or dad’s sleep is being affected, be sure to take them to the doctor. Once you understand why this is happening, and treatment begins, you can start looking into the best options for care. Finally, try to notice if there are any signs of injury on your parent’s body. Your parent might not always tell you when he’s suffered a fall – so you’ll need to look out for these signs yourself. If you notice new bruises, possible limping, or broken skin – this is a sign that your parent has been facing mobility struggles. Now, depending on the severity of these struggles, you might not need to jump to assisted living or a nursing home. Depending on your finances, there are plenty of options to making the home a safer place for your loved one. However, if the falls are a sign of something bigger – like Parkinson’s disease – you will have to look into more serious care. Of course, not everyone can observe their parents’ physical health. Maybe you live out of town or you aren’t able to see your loved one in person due to the COVID-19 pandemic. If this is the case, ask yourself if there is anyone who is able to stop by Mom’s house for you and report back. Do you have a sibling in town or a family friend? Try to find a neutral party who will report their findings in an honest way. If your sibling is adamantly against long-term care, for example, he might not be the best person to ask – because he’ll go out of his way to only look for signs that help his cause. You can also ask your parent about their health on the phone. Just keep in mind that they might not be entirely honest with you – or they might not even know the answers. If your dad has suffered weight loss, for example, he probably hasn’t noticed. Still, it’s worth speaking directly to your parents so that they have a chance to voice their own concerns about their health. Once you’ve analyzed your parents’ physical health, it’s time to address their mental health. Mental health is equally important to consider when it comes to knowing if it’s time for extra help. If your parent is suffering from memory loss, depression, anxiety, or anything else concerning – you’ll want to get them help right away. Signs of faltering mental health might not be as obvious, but there are certain signs you can look for. Have you noticed if your parents’ house is being neglected, for example? If your mother or father is no longer caring for their home – this could indicate that they are no longer managing their lives well. Look for dirty dishes, messy floors, cluttered corners – anything that indicates that domestic needs are being forgotten. If your parent is not able to keep up with housework, it’s safe to assume he’s struggling to keep up with his own care. Not to mention, no one wants their parent to be living in filth. It might be time to enlist extra help around the house. Does your parent seem confused? Has mom been leaving the oven on or has dad forgotten to put groceries away? Did you find the TV remote in a kitchen cabinet? Is your mom calling her cat by the wrong name? Sure a simple mistake might happen from time to time and not be cause for alarm, but if you’re noticing frequent signs of confusion, it’s a sign that something more serious might be happening. If this is the case, it’s time to take your parent to a doctor and discuss care options. Finally, take note of your parents’ physical appearance. If it looks like they are failing to shower, brush their teeth, or keep up with basic grooming, this might mean they are suffering from depression or that a change in their health has impacted their ability to care for themselves. When your parent is unable to care for themselves, it’s time to enlist extra help. Bring your parent to the doctor for further assessment. Once you have assessed the situation and determined that your mom or dad does need help, it’s time to decide the best type of care for them. Remember to include your parent in this conversation – after all, this is their life, and they should have a say in any major changes they are facing whenever possible. To learn more about how to begin this conversation with your mom or dad, check out our episode “When is it Time to Move?” If you know that your parent needs some extra help, but believe she still has a great bill of health overall, you might want to make some simple adjustments to her independent living style. This can be the best option for many families – especially when the parent is hesitant to make a more drastic move. Independent living adjustments can also act as a transitionary period to get your parent used to accepting more help. There are many instances in which independent living is still the best option. If your mom is physically and mentally healthy, for example, but she is struggling to move around the house, consider hiring an occupational therapist or speak with her doctor to see if she qualifies for home health care – that would provide an occupational therapist through her Medicare. Occupational therapists will evaluate the home and recommend safety changes – like installing grab bars or chairlifts for the stairs. They will also help your parent to improve their physical strength and balance, by teaching them new exercises and techniques. According to AARP, “studies show that visits from an OT help older people stay in their homes longer.” If your relatively healthy parent is adamantly against moving into a facility, an OT just might be the perfect answer for both of you. In addition to installing grab bars and other safety measures, you can also look into purchasing assistive technology. There are a number of products available meant to help with your parent’s at-home safety. AARP reports that, “SimplyHome offers monitoring equipment such as motion sensors and GPS watches, and QuietCare has a motion-sensor system that can learn a person’s daily patterns and send alerts when there is a significant change.” If your parent is resisting help, but you can’t be around to track their health and keep up with their living situation, assistive technology might provide just the help you need – temporarily, at least. You can also enroll in your mom or dad into an Adult Day Care program. If you don’t want your parent to be alone or unsupervised throughout the day, this could be a good solution. Adult Day Care programs provide meals, activities, and companionship – so if your mom is forgetting to eat or your dad is staring at the TV all day, this could be extremely helpful. It can also provide your parents with a new community of friends who can relate to them – which is especially important if they are living alone and don’t spend much time socializing. The most popular of these services is the Program of All-Inclusive Care for the Elderly or, PACE. If your loved one qualifies for Medicaid, this service is completely free. Otherwise, it’s about $3,000 a month. If your mom or dad seems perfectly healthy, but they are suffering from loneliness, service programs like Senior Corps could be a great help. Senior Corps sends volunteers to visit with the elderly right in their own home – and the volunteers are 55 and up, to ensure that your mom or dad will feel comfortable. There are also support networks known as “Villages” available in certain areas around the country. These are nonprofit networks that are intended to help seniors stay at home and get the care they need. Villages volunteers will help your parent with everyday tasks. Your parent will also qualify for discounted services – including everything from household maintenance to at-home nursing care. Villages cost around $300 to $500 a month. Finally, if your parent wants to stay home but has major health problems that require constant medical care, you can look into hiring a registered nurse. Whether you need a registered nurse for 24-hour healthcare, or only in certain durations, this is something to consider if your parent’s health is failing, but they are adamantly against leaving their home.  While independent living is a wonderful option for many seniors, it is not always possible. If your parent has been diagnosed with a chronic illness, is feeling depressed, has severe mobility struggles, or is simply not in a place to care for their home at all anymore – it might be time to consider other options. Now, that doesn’t necessarily mean your parent needs to leave their beloved home. In fact, the most common type of care option is Home Care. It’s the largest and fastest growing sector of long term care out there – and it’s easy to understand why. With home care, your Mom or Dad doesn’t need to make the move to assisted living or a nursing home – which means that in addition to saving on the stress and transitionary position that moving comes with, you’ll also be saving quite a bit financially. Chances are, your loved one isn’t ready to leave their home – and might not ever be. Home care allows them to stay where they are most comfortable, without making many adjustments. They’ll be able to eat what they love, engage in household activities that they are familiar with, and feel safe in their own familiar surroundings. If your parent is suffering from dementia, home care is often the best option. It’s highly recommended that a person with dementia remains within familiar surroundings – in order to reduce stress and strengthen memory. Depending on the degree of the disease, you might need to consider memory care – but often, dementia patients are able to stay at home for the remainder of their lives. Home care also allows you to be in control of when your parent receives help. If your mother needs help maintaining her home or cooking her meals, for example, you can schedule assistance for just a few hours each day. This is a great alternative to paying for a full-time lease with assisted living, especially when your mom or dad may require more hands-on care and assistance. Finally, home care is customized to your loved one. That makes it pretty indispensable. Your loved one will be the number one priority to his caregivers and his care will be fully customized to fit his individual needs. Unfortunately, that’s not as possible at move-in facilities, just because the staff has so many residents to keep track of. With all the focus on your Mom or Dad, you’ll never have to worry that their individual needs are not being met to their liking. Home care can provide your loved one with everything they need, up to needing a licensed registered nurse (if you are looking for 24-hour nurse care, we’ll dig into that later on). Of course, if you and your loved one decide that leaving the home is the right option for them, there are plenty of live-in facilities to consider. Assisted living is a fantastic option for any person who needs extra help, but is still able to function on their own to a significant degree. The reason a person might choose assisted living over home care is if they are interested in residing in a community of other seniors – where they can build friendships and connections. Assisted living also provides a safe place to live with regular visits from nurses, as well as a nice community and daily activities.  Assisted living doesn’t strip your parent of her independence – it just provides a space in which daily living is easier. Not to mention, the community of other seniors establishes a foundation for friendships and companionship that simply would not be available to your mom or dad at home. Many seniors report that assisted living communities feel like college again – because they are surrounded by new friends and have so much to do. From community theatre to art classes to book clubs, the activities really are endless. Plus, if you are not able to be with your parent most of the time, you can rest assured that your parent is being well taken care of in an assisted living community. Depending on the facility and the state – as well as the insurance, assisted living costs can vary greatly. On average, though, the cost can range fairly significantly from $2000 to $4000 up to $8000 to $10,000 a month depending on the facility and the amenities that are offered. If you believe that this is the best option for your parent, look into long-term care insurance or the living benefits of your parents’ life insurance. Now, if your parent is unable to live independently at all, a skilled nursing facility might be the best option. At a skilled nursing facility, your parent will receive round-the-clock care for everything from their illness to their daily needs. Much of their care will be monitored by doctors and they will receive physical, speech, and occupational therapy to help strengthen their minds and bodies. If your parent is unable to feed, bathe, dress, or move on her own – this is likely the best option. These facilities don’t have to be permanent residences, though. If your parent has suffered a bad fall or is recovering from surgery, they may need to stay here temporarily while they recover. Much like assisted living facilities, the cost of skilled nursing facilities depends on the state and the location itself. A private room in a nursing home can be quite costly – averaging about $7000 a month. If your parent is a veteran, though, they might qualify for discounted care. Otherwise, again, look into insurance options – either from Medicare, long-term care insurance, or life insurance and Medicaid. If your parent is suffering from Alzheimer’s or Dementia, Memory Care living might be their only option. Memory Care provides specialized care for patients suffering memory problems. Specific routines are structured to decrease stress, and staff is trained to deal with the unique difficulties that coincide with Alzheimer’s and Dementia. There are more frequent check-ins than at Assisted Living Facilities and everything from meal to basic care is highly organized, so there are never any breaks from routine or surprises. Daily activities are meant to improve cognitive function – so that residents are mentally engaged and strengthening their memory. There are different activities offered depending on the stage of your parents’ disease. According to registered nurse and memory care consultant Megan Carnarius, “in regular assisted living, residents are expected to manage their own time; menus and mealtimes are posted, but staff is not checking in on them. In memory care, the staff ensures residents are getting to meals, coming to activities, and moving onto the next thing.” At the same time, these facilities also offer heightened security – so that patients with a tendency to wander cannot leave the premises or risk getting lost. Elevators need codes, doors are alarmed, and in some instances, patients wear tracking bracelets. If your parent has recently suffered a stroke and is suffering from temporary cognitive and memory problems as a result, Memory Care is probably not the best option. This type of care is intended to be permanent or long-term, not temporary. Instead, you might consider at-home care specialists that are memory specialists or a temporary stay in a skilled nursing facility while your parent recovers. Memory care costs around $5000 a month on average – but, again, this pricing varies depending on the state and the level of care. Unfortunately, insurance does not always cover the cost of this type of intensive care. According to elder law attorney Richard Newman, “most families that utilize memory care have to pay out of their own pockets.” Long-term care insurance is an exception, though – so, if it’s not too late, be sure to look into purchasing a plan if you haven’t already. After assessing the different options for long-term care, you might have decided that you want your parent to move in with you. If this is something you are considering, it’s essential that you analyze the situation closely and ask yourself some serious questions before you take that leap. Having a parent move in might not be as cost-efficient as you are hoping or might entail a great deal more work than you’re anticipating. You also need to make sure this is in the best interest of your parent. Have your parent analyze the situation just as much as you do, because oftentimes, she may simply not want to move in with her adult child. This could make her feel a loss of dignity or she may simply want her space. Before you move your parent home with you, ask yourself these questions: Will I need to quit work to care for my loved one? Can I afford to implement the proper safety measures – like grab rails – into my home? Can I afford the extra expense of another household member? Do I have a good relationship with my parent – or do we fight a lot? Is there any unresolved issues between us? How will this move affect the rest of my family members? How will I establish boundaries? Do I have the resources to provide my loved one with the care they need? Do I want to take on this responsibility? At the same time, have your parent answer these questions for themselves: Do I feel comfortable living in my child’s space and respecting their household rules? Do I feel comfortable confronting my child if they are doing something I do not like? Do I have unresolved issues with my child? Will I still be able to participate in activities I love? Do I need to help pay for my care in their house? Will this move make me feel less independent? After both parties have answered these questions, if you determine that moving in together is still the best fit, make sure to implement the necessary safety measures and set up local community resources to help your parent feel at home in the community. These might include church memberships, classes, and counseling services. Then, make sure you speak with your parent openly and honestly about how they can continue to feel independent when living with you. Finding the best care solution for your parent is never easy. There are so many factors to consider – from your parents’ abilities and desires, to cost of care. Once you have carefully assessed all of your options, however, you should be in a better place to make the best decision for you and your parent. Just be sure to include them in the conversation, too, since this decision will be impacting the rest of their lives. With the right care, you and your parent can set your worries aside and focus on what’s most important: spending time together and reclaiming happiness. We want to thank you for joining us here at All Home Care Matters, All Home Care Matters is here for you and to help families as they navigate long-term care issues. Please visit us at allhomecarematters.com there is a private secure fillable form there where you can give us feedback, show ideas, or if you have questions. Every form is read and responded to. If you know someone is who could benefit from this episode, please share it with them. Remember, you can listen to the show on any of your favorite podcast streaming platforms and watch the show on our YouTube channel and make sure to hit that subscribe button, so you'll never miss an episode. Please join us next time as we discuss an important issue that all families need to hear and that’s medication and prescription safety. Sources: https://www.aarp.org/caregiving/basics/info-2017/your-loved-ones-next-move.html   https://www.caring.com/caregivers/elder-care-options-for-senior-living-arrangements/   https://caringadvisor.com/level-of-senior-care/   https://www.senioradvisor.com/blog/2018/12/types-of-senior-care/   https://www.payingforseniorcare.com/types   https://www.kiplinger.com/article/retirement/t066-c000-s001-how-to-choose-a-long-term-care-facility-for-a-love.html   https://www.elderly-homecare.com/types-of-senior-care-how-to-choose-the-best-elder-care-option/   https://www.familyassets.com/senior-care-options   https://www.visitingangels.com/knowledge-center/care-options/understanding-the-different-kinds-of-senior-care-available/282   https://www.aarp.org/caregiving/basics/info-2019/memory-care-alzheimers-dementia.html   https://www.aplaceformom.com/caregiver-resources/articles/moving-parents-into-your-home   https://www.aarp.org/caregiving/home-care/info-2018/living-with-aging-parents.html   https://www.care.com/c/stories/5412/9-signs-your-parent-needs-help/   https://www.caregiver.org/selected-long-term-care-statistics   https://www.whereyoulivematters.org/how-much-does-assisted-living-cost/   https://www.seniorliving.org/nursing-homes/costs/                   

Dr. Victor Lee: Hi! I'm Dr. Victor Lee. I'm one of the physicians here at St. Paul's PACE. Uh, want to give you a little background of what we do here at St. Paul's. St. Paul's PACE is a Program of All-Inclusive Care for the Elderly . We've been running San Diego PACE for close to 12 years, a little over 12 years. Our goal is to provide a comprehensive PACE program.Like senior home care, medical, nursing, therapy, transportation activities, social work, and things like that to support them living at home as long as they can. That's what we do. We are experts in geriatrics and senior care, and we hope to see you in our program. Thank you.Karen Lappas: Hi, I'm Karen Lappas. Geriatric nurse practitioner at St. Paul's PACE. Families asked me all the time, what makes our PACE program for elderly so different? All of the providers here in St. Paul's PACE have worked with older adults and seniors and helped manage their chronic conditions, diabetes, hypertension, heart disease, chronic dementia.All of us are well-versed in taking care of these challenging patients with challenging diagnosis and we thrive as a team together, working together to take care of these patients.And we'd love to hear from you. So, come join us.St. Paul's PACE has incorporated telehealth services. In addition to speaking to patient and families, we can also speak to the home care department when they're in your home. It can simply show us any changes that have happened on your condition. And then we can quickly treat you and better triage you and determine if we need to see you that day or the following day.It also helps keep you safe by keeping you in your home. We can determine what care is needed.Alisa Isumi: Hi, I'm Alisa with the Enrollments Department. PACE stands for Program of All-inclusive Care for the Elderly. And that is what we provide, all-inclusive care. So, if you are 55 or older, live in our service area and have chronic medical conditions, please give us a call today. We're here to help.

Good morning and welcome to Montrose Fresh, from The Montrose Daily Press. It's Wednesday January 20th and we're here with local news, events, announcements, and more that matter to us here in Western Colorado.  Today -- Coordinated teamwork can provide long-term housing and care solutions for those in our community who need it most. Today's episode is brought to you by Elevate Internet. Whether it's for your home or your business they offer the best speeds at the best price. Right now, if you refer a friend you can get $25 off! Give them a call for more information at 844-386-8744 or visit them at elevateinternet.com But before we begin, even though we might not be able to have the larger gatherings that we long for, perhaps we can look on the bright side. A smaller group means we can up the ante on what we cook. We'd recommend a version of a classic — Beef Wellington, with a French Bordelaise sauce. Now, at the core, beef wellington is beef wrapped in puff pastry and baked — perhaps a little simplistic, but true, nonetheless. The key to this is a crispy, buttery puff pastry. Visit us at montrosepress.com for the full step by step recipe. Now, our feature story. That was a message from Volunteers of America's Home Health of Western Colorado  And as most of us are currently aware, affordable housing is not plentiful in our rural Western Colorado counties. It's challenging enough to locate housing options when you are healthy and up to the search. But imagine attempting to find new housing when you are dealing with chronic health conditions. Our area's older adult population often runs into situations like that.  Jack Morris, whose name we've changed to protect his identity, was a patient at San Juan Living Center. And last summer he was discharged. Volunteers of America's Home Health of Western Colorado provided his safe transition with in-home skilled nursing care. A nurse met with Mr. Morris weekly. The nurse managed medication, and other duties related to his cancer and diabetes. Not long after returning home, Mr. Morris was told he had to vacate the mobile home he owned since the landowner was selling the property. While he continued to receive supportive healthcare services, two eviction notices arrived. Then, a final notice to vacate. He ended up making an agreement with the landowner to leave his mobile home behind since he could not afford to have it moved off the land.  Mr. Morris was then referred to the Senior Community Care Program of All-Inclusive Care for the Elderly. Montrose County Enrollment Specialist, Kirk DeVincentis began working with him to locate housing options.  One resource was the Montrose Housing Authority. So he completed an application and was placed on the waiting list for housing. Fortunately, Mr. Morris was able to move into a one-bedroom unit at Olathe Meadows Senior Apartments. H.U.D subsidizes the apartments, so the rent is very low.  Mr. Morris now receives a variety of support services, which include light housekeeping, weekly laundry assistance and linen change. He now has showering assistance, physical therapy to improve balance and strength training to minimize falls, occupational therapy to promote home safety, nursing care for chronic pain management, and diabetic testing and skin checks to ensure skin integrity. His dietary needs are being met with diabetic nutritional education as well as diabetic meals delivered to his new home five days per week. Thanks for listening, finally, we'd like to take a moment today to remember the life  of Robert Allen Williams. Bob was born in Hastings, Nebraska. He grew up in Waverly, Nebraska, where he graduated from Waverly High School in 1962. In 1964, he received an associate degree in electronics from Nebraska Vocational Technical School. Then, in 1966, he enlisted in the Nebraska Air National Guard, and was honorably discharged in 1972. In 1965, he married his high school sweetheart, Marilyn. They celebrated 55 years of marriage last June. Together they had two children. The family made their home in Lincoln, Nebraska, where Bob was employed as a metering technician for Lincoln Electric System. In Lincoln, they were members of First Baptist Church. The family enjoyed their many trips to Colorado for summer vacations and winter skiing. Finally, they achieved their dream of moving to Colorado. He retired from Tri-State Generation and Transmission in 2008. Bob and Marilyn enjoyed nothing more than hooking up the travel trailer and heading into the mountains for camping, 4-wheeling, hiking and biking. These were Bob's happiest memories. He was eventually diagnosed with Parkinson's Disease and vascular dementia. Marilyn took care of him at home until he became a resident of San Juan Living Center. They had dinner together every evening until COVID-19 brought it to an abrupt halt. Even then, in the warm months of 2020, they had dinner together, Bob dining inside the patio window and Marilyn dining outside the window. Bob will be greatly missed, thank you for taking a moment today to remember and celebrate his life. That's all for today, thank you for listening! For more information on any of these stories visit us at montrosepress.com. And don't forget to check out our sponsor, Elevate Internet. Visit them at elevateinternet.com to learn more. For more than 137 years, The Montrose Daily Press has been dedicated to shining a light on all the issues that matter to our community. Go to montrosepress.com to subscribe for just $1.99 per week for our digital edition. You'll get unlimited access to every story, feature, and special section. Thank you and remember to tune in again next time on montrosepress.com or wherever you listen to podcasts. Support the show: https://www.montrosepress.com/site/forms/subscription_services/ See omnystudio.com/listener for privacy information.

  A prospect wants to switch their Medicare Part D coverage, but AEP is over. Can you still help? YES! Listen to learn the different scenarios that can help qualify your client for coverage through a Special Election Period.   Read the text version.     Mentioned in this episode:   4 Steps to Finding the Perfect PDP for Your Client 7 Powerful Practices for Selling Prescription Drugs Definitive Guidelines for the New Open Enrollment Period Find your level of Extra Help (Part D) How SPAPs and their SEPs Can Bring You New Business Programs of All-Inclusive Care for the Elderly (PACE) Special circumstances (Special Enrollment Periods) Special Enrollment Periods for Medicare Advantage Plans and Medicare Part D Drug Plans Stay Busy Outside of AEP With Special Enrollment Periods   More episodes you’ll like:   How to Follow up with Medicare Clients Compliantly Think your job as an agent is complete after the sale? Not so fast. We whole-heartedly believe that the fortune is found in the follow-up! If you’re not sure how to follow up with your clients, listening to this episode is a great place to start. Stay Busy Outside of AEP with Special Enrollment Periods Drive insurance sales year-round with Special Enrollment Periods. Learn how to find clients and what special kinds of plans should be in your portfolio. Understanding Medicare Advantage Enrollment Periods Medicare Advantage has different enrollment periods than Medicare Supplements. What are the Med Advantage enrollment periods? How and when do your Medicare clients qualify for them? Get the answers to your MA enrollment period questions right now!   Articles to Share with Your Clients:   Cooking for Beginners: Cutting Board Safety Cutting boards are extremely useful tools in the kitchen, especially for protecting your countertops. For that reason, cutting board safety is equally important so you don't accidentally hurt yourself or get sick! Does Medicare Cover COVID Testing? Does Medicare cover COVID testing? It's an important question to be answered, since testing can give you peace of mind and help slow the spread of the pandemic. The Coverage Rules for Medicare Part D Plans You've come to rely on your Medicare Part D plan to give you coverage for your prescription drugs, but there are rules that govern this coverage and its limits. What are they?   The latest from Ritter’s Blog:   What to Do If Your Clients Can No Longer Afford Their Permanent Life Insurance Premiums Are your clients struggling to pay their permanent life insurance premiums? They have options other than letting their policies lapse! Here’s how you can help them salvage their benefits. How to Take on an Upset Client in the Insurance Industry At least once in your sales career, you may meet an insurance client who had a negative experience with another agent, plan, or insurance in general. While these bad experiences were out of your control, you have the ability to make their next experience a positive one! Medicareful 2020 Year-in Review: Here’s What We Accomplished Selling Medicare plans? You’ve probably heard of Medicareful. We’re reviewing what this free Medicare quoting software helped agents accomplish in 2020 and how it set itself apart from other online Medicare sales tools!     Subscribe & Follow:   Apple Podcasts Google Podcasts Overcast Podbean Spotify Stitcher   Connect on social:   Facebook Twitter YouTube LinkedIn  

Program for All-Inclusive Care for the Elderly, or PACE, is not as prevalent as one may think due to certain restrictions the government has recently lifted.  Up and coming WelbeHealth, led by Matt Patterson, has quickly grown to be able to provide care to thousands (and growing) of low income older adults.  Matt shares how WelbeHealth came together and how it is helping drive the growth of PACE in the southwest.

34: Peter Fitzgerald, “Honoring Our Elders: Providing Voice & Choice So People Can Grow Old at Home.” As we grow older and our ability to live independently diminishes, we may find ourselves contemplating an assisted living facility or a nursing home. The thought of giving up your home, where all your memories live, can be heartbreaking. What if we could make it easier for people to grow old in their homes? Enter PACE (Programs of All-Inclusive Care for the Elderly). PACE currently helps almost 55,000 older Americans stay in their homes by bringing the care to them. They have ambitions to grow to 200,000 clients by 2028 and their services couldn’t be more timely as during COVID their mortality rates are half those of nursing homes. Listen in on Becky’s conversation with Peter Fitzgerald, Executive Vice President of Police and Strategy for PACE, as they discuss the challenges of expanding something that’s already working pretty good.    Peter Fitzgerald, Executive Vice President of Policy and Strategy, National PACE Association Show Highlights: What’s the “just right” amount of expansion so that you don’t overwhelm people?  How PACE originated their program model with the Chinese community in San Francisco How the UK’s adult day care model also informed PACE’s development The importance of interdisciplinary teams in delivering care Links: https://www.npaonline.org/  

PACE: A Job that sounds too good to be true Have you heard about PACE Programs (Program of All-Inclusive Care for the Elderly)?  There have been a few people in the GEROS community share their love for PACE but we haven't really covered this special program on the podcast...until today! Meet Kaitlin Dodi-Monk - she's a Physical Therapist that works in a PACE Program in Virginia.  This is a great conversation for those that are curious about this unique setting & what seems like a job that's too good to be true! You can learn more about PACE programs at https://www.npaonline.org/ You can reach Katilin in the GEROS Community Facebook Group. ----- If you enjoyed this episode, consider joining the GEROS Community! You'll get: Access to the Private FB Group where we stream interviews, share relevant research, & discuss cases. The weekly Recap of highlights around the GEROS Community. Sign up for free at http://GEROShealth.com/#join

  Craig covers upcoming Medicare regulation and legislation insurance agents need to know about in 2020! Learn about the implications of MACRA, the 21st Century Cures Act, the 2021 Advance Notice, and more, and what it means for your insurance business.   Ritter’s State of the Senior Market – Watch the videos at ritterim.com/sotsm   Register for Craig Ritter’s Live Q&A on March 26th at 2PM ET http://bit.ly/385cj51    State of the Senior Market Video Schedule:   February 25, 2020 – Coming Soon: Ritter’s State of the Senior Market | TrailerMarch 3, 2020 – The Year in Review | Episode 1March 10, 2020 – Medicare Regulation & Legislation | Episode 2March 17, 2020 – Enrollment Stats for 2020 | Episode 3March 24, 2020 – Major Industry Trends | Episode 4March 26, 2020 – Live Q&A with Craig Ritter   State of the Senior Market Podcast Episodes:   A Word from Our President, Craig Ritter | State of the Senior Market 2020 The Year in Review | State of the Senior Market 2020 Episode 1 Medicare Regulation & Legislation | State of the Senior Market 2020 Episode 2 Enrollment Stats for 2020 | State of the Senior Market 20202 Episode 3 Major Industry Trends | State of the Senior Market 2020 Episode 4 Q&A with Craig Ritter | State of the Senior Market 2020   Mentioned in this episode:   CMS: Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) FDA: 20th Century Cures Act Learn more about Medicareful Medicare and Medicaid Programs: Contract Year 2021 and 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescriptions Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly Medicareful Living Blog Register with Ritter Ritter Insurance Marketing Website The Ritter Platform   More episodes you’ll like:   March 13, 2020 | The Friday Five The Friday Five for March 13, 2020: CVS Pharmacy drops delivery fees during Coronavirus outbreak; Coronavirus Q&A from CNN; Jack Dorsey still CEO of Twitter; oil wars and gas prices; and PepsiCo buys Rockstar Energy. 4 Reasons Why Ritter Should Be Your FMO Insurance Agency Looking for an FMO? Not sure what a field marketing organization like Ritter Insurance Marketing can do for your insurance business? Learn everything you need to know in this can’t-miss episode of the ASG Podcast! 5 Out-of-the-Box Ideas for Selling Final Expense Insurance Pitching final expense insurance may seem challenging, but it doesn't have to be! We’ve got five concepts to work into your presentation strategy before your next sales appointment!  FAQs About Working with Ritter Insurance Marketing Have questions about partnering with Ritter Insurance Marketing? Not sure what a field marketing organization is, or how joining one can help your insurance business? Curious about lead programs, CE credits, and other opportunities FMOs like Ritter have to offer? We talk with our sales team to answer common questions about working with FMOs and more! What Is E&O Insurance and Do You Need It? You've worked hard to create and grow your insurance business — but how do you protect your investment? Even insurance agents need protection. In this episode, we make the case for errors and omissions (E&O) insurance.   The latest from Ritter’s Blog:   The Best Software for Tracking Your Medicare Commissions You may enjoy selling Medicare Advantage, Medicare Supplement, and Part D plans because you like helping others, but you and your family may also depend on the commissions your insurance career or side hustle… (read more) Examining the Medicare Part B Premium Giveback The standard monthly Part B premium cost for beneficiaries in 2020 is $144.60. Wouldn’t it be nice if your clients could get some of that money back? Good news, this is a possibility...(read more) The Top 5 Products to Sell During Medicare's Lock-In Period Which products should a Medicare sales agent sell outside of the Annual Enrollment Period to keep earning commissions? We’ve got the top five additional plan types that should be a part of an agent’s portfolio during the... (read more)   Subscribe & Follow:   Apple Podcasts Google Podcasts Overcast Podbean Spotify Stitcher   Connect on social:   Facebook Twitter YouTube LinkedIn  

  The Friday Five for February 28, 2020: Coronavirus: Continuing Coverage Apple Heartline Study Medicare-for-all Explainer Salesforce acquires Vlocity Seema Verma speaks at NAHU Capitol Conference 2020   Mentioned in this episode:   CDC: Coronavirus Disease 2019 (COVID-19) Apple Heartline Health Study Coca-Cola could be in tight supply of artificial sweetener for diet and zero-sugar drinks because of coronavirus Coronavirus’s spread in U.S. is ‘inevitable,’ CDC warns Here’s that Medicare-for-all study Bernie Sanders keeps bringing up Medicare and Medicaid Programs: Contract Year 2021 and 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescriptions Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly Salesforce grabs Vlocity for $1.33B, a startup with $1B valuation Salesforce to Buy Vlocity in Vertical CRM Move Speech: Remarks by CMS Administrator Seema Verma at the National Association of Healthcare Underwriters (NAHU) Capitol Conference 2020 Taylor Lorenz bylines in the New York Times The Basics of ‘Medicare for All’ The Original Renegade Top health official warns coronavirus spread appears inevitable in US Wall Street Is (Finally) Waking Up to the Damage Coronavirus Could Do Why Apple and Johnson & Johnson’s new heart study is a big deal for digital health   More episodes you’ll like:   4 Steps to Every Final Expense Sale Master your final expense sales pitch with these steps. We discuss how to help you bring up the subject of final expense with confidence and convert more prospects into clients. Every ‘Second’ Counts: Why Sell Cancer, Heart Attack, and Stroke Insurance? Build a portfolio that shows clients you care. Cancer, heart attack, and stroke insurance plans provide coverage and peace of mind when your clients need it most. Ready to Join an FMO? 10 Things to Consider Thinking about partnering with a field marketing organization? Wondering how you can tell the good from the bad? Our top 10 list outlines what you need to know before you partner with an FMO. What Are Insurance Agents Responsible for Under HIPAA? Stay HIPAA compliant with the Agent Survival Guide Podcast! Find out what you’re responsible for under HIPAA regulations. What Is E&O Insurance and Do You Need It? You've worked hard to create and grow your insurance business — but how do you protect your investment? Even insurance agents need protection. In this episode, we make the case for errors and omissions (E&O) insurance.   The latest from Ritter’s Blog:  Every ‘Second’ Counts: Why Sell Cancer, Heart Attack and Stroke Insurance? Do you question the value of cancer, heart attack and stroke plans? Why would (or should!) anyone buy a policy that’s so specific? We can think of a few good reasons...(read more) Examining the Medicare Part B Premium Giveback The standard monthly Part B premium cost for beneficiaries in 2020 is $144.60. Wouldn’t it be nice if your clients could get some of that money back? Good news, this is a possibility...(read more) The Top 5 Products to Sell During Medicare's Lock-In Period Which products should a Medicare sales agent sell outside of the Annual Enrollment Period to keep earning commissions? We’ve got the top five additional plan types that should be a part of an agent’s portfolio during the... (read more)   Subscribe & Follow:   Apple Podcasts Google Podcasts Overcast Podbean Spotify Stitcher   Connect on social:   Facebook Twitter YouTube LinkedIn  

  The Friday Five for February 21, 2020: Coronavirus & Trade Implications Medicare Advantage Enrollment Stats The CBO’s Budget and Economic Outlook for 2020 to 2030 IRS Tax Law Changes for 2020 Apple Watch Detects Heart Condition   Mentioned in this episode:   Apple Watch alerts 13-year old about a serious, undetected heart condition Burger King thinks moldy Whoppers will get you to buy more burgers Business Wars Podcast Business Wars: McDonald’s vs Burger King – Fastest Burger in the West | 1 Changes in tax law you should know about this year From toys to Teslas, China’s coronavirus disrupts flow of global business McDonald’s Shamrock Shake returns with a 50th-anniversary twist Medicare Advantage enrollment swells Medicare and Medicaid Programs: Contract Year 2021 and 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescriptions Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly The Budget and Economic Outlook: 2020 to 2030 Why Apple’s coronavirus caution is nothing like last year’s China warning: Morning Brief   More episodes you’ll like:   Ready to Join an FMO? 10 Things to Consider Thinking about partnering with a field marketing organization? Wondering how you can tell the good from the bad? Our top 10 list outlines what you need to know before you partner with an FMO. What Are Insurance Agents Responsible for Under HIPAA? Stay HIPAA compliant with the Agent Survival Guide Podcast! Find out what you’re responsible for under HIPAA regulations. What Is E&O Insurance and Do You Need It? You've worked hard to create and grow your insurance business — but how do you protect your investment? Even insurance agents need protection. In this episode, we make the case for errors and omissions (E&O) insurance.   The latest from Ritter's Blog:   The Top 5 Products to Sell During Medicare's Lock-In Period Which products should a Medicare sales agent sell outside of the Annual Enrollment Period to keep earning commissions? We’ve got the top five additional plan types that should be a part of an agent’s portfolio...(read more) Why Go About Your Business in an Ethical, Compliant Fashion? We’ve already told you the many ways you can remain compliant as an insurance agent. In this article, we want to focus on the “why.” Why should you go about your business in an ethical, compliant... (read more) The Agent Survival Guide Has a New Home Big things are happening with the Agent Survival Guide in 2020! Now, all our Agent Survival Guide content is available on RitterIM.com. Here’s everything you need to know about the... (read more)   Subscribe & Follow:   Apple Podcasts Google Podcasts Overcast Podbean Spotify Stitcher   Connect on social:   Facebook Twitter YouTube LinkedIn  

On this week's episode of "Open House with Team Reba", Reba and Eric welcome Jill Leon, Outreach and Marketing Specialist for Providence ElderPlace.Providence ElderPlace is a PACE program (Program of All-Inclusive Care for the Elderly). Those enrolled with ElderPlace receive complete medical care, medications, medical supplies, adult daycare, in-home care, care coordination, transportation and more. Visit here to learn more about their services.At the start of the show, Reba and Eric talk about the real estate and mortgage markets. There is still very tight inventory, so if you're in a position to sell right now, you're likely in a really good spot. Contact us today to receive an estimate of the value of your home in this market. info@teamreba.com

  A prospect wants to switch their Medicare Part D coverage, but AEP is over. Can you still help? YES! Listen to learn the different scenarios that can help qualify your client for coverage through a Special Election Period.   Read the text version.   Mentioned in this Episode:   4 Steps to Finding the Perfect PDP for Your Client 7 Powerful Practices for Selling Prescription Drugs Definitive Guidelines for the New Open Enrollment Period Find your level of Extra Help (Part D) How SPAPs and their SEPs Can Bring You New Business Programs of All-Inclusive Care for the Elderly (PACE) Special circumstances (Special Enrollment Periods) Special Enrollment Periods for Medicare Advantage Plans and Medicare Part D Drug Plans Stay Busy Outside of AEP With Special Enrollment Periods   More episodes you’ll like:   4 Steps to Finding the Perfect PDP for Your Client Prescription Drug Plans are not one size fits all. Discover how you can help your clients find the PDP that fits their needs best. 5 Myths About Selling Medicare… Debunked! If you’re on the fence about selling Medicare, this episode is for you! Don’t let these myths hold you back from selling Medicare! The senior health insurance market is booming – and there’s plenty of room for more agents… like you! 7 Powerful Practices for Selling Prescription Drugs Improve your PDP selling strategy. Our best practices help you save time and are easy to implement. How to Follow up with Medicare Clients Compliantly Think your job as an agent is complete after the sale? Not so fast. We whole-heartedly believe that the fortune is found in the follow-up! If you’re not sure how to follow up with your clients, listening to this episode is a great place to start. January 3, 2020 | The Friday Five (SMART Goals) No resolutions here, but we are talking goals. Specifically, SMART goals and how to get your insurance business set for success in 2020. Understanding Medicare Advantage Enrollment Periods What are the different Medicare Advantage enrollment periods? How and when do your clients qualify for them? Get the answers to your MA enrollment period questions in this episode of the ASG Podcast!   The latest from Agent Survival Guide:   Should You Sell D-SNPs? Dual Eligible Special Needs Plans are a great product to add to your portfolio, especially since 12 million Americans (20 percent of the Medicare population) have dual-eligible status. While we think selling...(read more) The Beginner’s Guide to C-SNPs Have you ever considered selling Chronic Condition Special Needs Plans (C-SNPs)? Yes or no, we’ve got the quick guide that you need to read! C-SNPs can allow health insurance agents to keep...(read more) How to Transition from AEP to D-SNPs The lock-in period is approaching, but just because it’s not the “busy season,” doesn’t mean you can’t stay busy! You can keep sales and commission coming in by shifting your focus from...(read more)   Subscribe & Follow:   Apple Podcasts Google Podcasts Overcast Podbean Spotify Stitcher   Connect on social:   Facebook Twitter YouTube LinkedIn  

As those in the home healthcare industry know, the elder population is growing exponentially, as is their need for care. One of the more innovative programs available to help seniors age in place, Program of All-Inclusive Care for the Elderly,  has actually been around for more than 50 years. Shawn Bloom, President and CEO of the national PACE Association, talks about why the model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in their community whenever possible.

 Conversation 146:  The Story, Journey and Passion of Christina Boehme, RD, LD “It’s really important to be there and be an advocate for older adults. It’s interesting to see the science and the food and nutrition impact on their quality of life. It’s amazing to me. Who knew after 80 years of life you would need a dietitian?” Christina Boehme, RD, LD Today’s conversation is with Christina Boehme,  a registered dietitian who is passionate about working and caring for our elderly population for a program called PACE.  Christina and I met this spring at the Nebraska Academy of Nutrition and Dietetics and she shared with me the unique and special area she is currently working in called PACE, which stands for the Program of All-Inclusive Care for the Elderly. PACE is a specialized managed care program that provides preventive care, primary care, social services, therapeutic recreation, acute and long-term care services and Christina is passionate and thriving in her current position. In our conversation today, she shares more about her work with PACE and how this a great opportunity for registered dietitians.  Please enjoy my conversation with Christina. Connect with Christina by email and learn more about PACE here.    www.anneelizabethrd.com Copyright © 2019 OPI & AEHC Song: One Of These Days Artist: The Gemini www.thegeminimusic.com Music used by permission. All rights received. © ASCAP OrtmanMusic

In this episode, Deborah Youngblood of PACE (Program of All-Inclusive Care for the Elderly), talks about how their branch was able to integrate Positive Approach to Care methods. Hear Deborah Youngblood present LIVE at the Annual Positive Approach to Care Conference in Cary, NC, on November 18th and 19th, 2019. Visit https://teepasnow.com/pac-annual-conference/ to secure your ticket today! Learn more about PACE at http://www.pacesemi.org/. --- Send in a voice message: https://anchor.fm/dementiacaregivertalkshow/message

We examine PACE (Program of All-Inclusive Care for the Elderly) with head of marketing and enrollment Kristine Bellino.

We examine PACE (Program of All-Inclusive Care for the Elderly) with head of marketing and enrollment Kristine Bellino.

On this episode of 'Homeless in San Diego: Real People, Real Stories,' host Greg Anglea, CEO of Interfaith Community Services, welcomes Dennis Larkin. Dennis is a resident of Talmadge Gateway Apartments, an affordable housing development for seniors who have struggled with homelessness. From the partnership between Wakeland Housing & Development and St. Paul’s Program of All Inclusive Care for the Elderly, 60 residents are able to have a safe place to live independently. Dennis has lived a long and eventful life. From helping flood victims in Thailand to becoming the founder of a successful drug and alcohol program, he truly has a lively spirit. Yet after his wife passed, he fell into a self-destructive lifestyle. He developed an alcohol problem and lost all financial stability. Things worsened so much that it led to him living out of his car and developing health problems. Fortunately, through Dennis’ own strength and the help of organizations such as Wakeland, he managed to secure a place at Talmadge as the 60th resident.   Calls to Action: Visit the Talmadge Gateway Community – See the potential and good that is happening at these facilities.

Research On Aging LGBTQI and Nonbinary People ft. Jason Flatt, PhD, MPH ***DISCLAIMER: KB ONLY*** This podcast is a series of interviews with medical providers, mental health professionals, community members and advocates. Each interview represents the opinions of the individual. Individuals may use different terminology than what you’re used to. The intention is to educate not discriminate, and we welcome positive and constructive feedback. Please keep in mind; this is not a replacement for medical care or advice. I am simply presenting my views along with educational information that will be both evidence based research and external networks that have an impact on LGBTQI and nonbinary health care. Consult your provider for any medical or mental health concerns. My name is Kerin “KB” Berger and welcome to Queer MEDucation! ***INTRO MUSIC*** ***INTRO TO EPISODE: KB ONLY*** Thank you for joining us for our fourth episode of Queer MEDucation. When you get the chance, please leave a little review for us on iTunes, Stitcher, Google Play or wherever you get your podcasts. We are so grateful for the love and support, but also to all those dedicating their lives to the health and well being of LGBTQI and nonbinary individuals. Thank you. And special thanks to Erica Berger-Hausthor and her associates for their kindness and their dedication to the aging LGBTQI and nonbinary communities. Erica Berger-Hausthor is a lawyer practicing estate planning and elder care law in Orlando, Fl. They recently visited the LGBT Center in Orlando, Fl to present to a group of twenty five aging LGBTQI and nonbinary on end of life legal concerns and documentation. Not only did they educate the folx on queer end of life planning, but they drafted advanced directives free of charge. Although the world seems like a bizarre and negative place these days, it’s important to focus on the positivity instilled in our guests, community members, advocates and allies.  Did you know only 25% of aging LGBTQI and nonbinary individuals are in a legal partnership? Not only that but a quarter of the aging queer individuals have concerns about who is going to take care of them when they can no longer care for themselves. Talk about marginalized population: the first large population based study funded by the NIH on the aging queer population was published in 2011 under President Obama. Aging LGBTQI and nonbinary people are defined as “a population of sexual and gender minorities over the age of 50” according to the NIH. Studies show there are between 1.75-4 million queer aging adults. Now, I live in LA. Housing is a HUGE problem for everyone, especially our aging LGBTQI and nonbinary population. In this week’s, episode we talk to Dr. Jason Flatt about his research at UC: San Francisco on the aging LGBTQI and nonbinary population. Jason has his hands in many pots but a with a single mission of understanding and improving the lives of aging queer adults. Please enjoy! ***INTERVIEW: KB AND JASON FLATT (JF)*** KB:                 Hey, what's up? It's KB. I'm here with a very special guest. I'm going to let them introduce themselves. JF:                   Hi KB! This is Jason Flat. I'm an assistant professor, uh, the University of California, San Francisco. My focus area has been on LGBTQ, older adults, really thinking about aging as well as dementia risk and even issues around sort of ensuring that our aging community has access to affordable and inclusive housing. KB:                 And what are your credentials, Jason? JF:                   Yeah, so I have a PhD. It's in public health. It's with a focus in behavioral and community health. So that's really focused on like understanding health behaviors and understanding aspects that are important in late life. So I have a graduate certificate in Gerontology with a focus in mental health. And I also, I actually am a master certified health education specialist. So I bring in some of, uh, my previous training and experience in being a health educator to my work. During a lot of my training I focused on, so my dissertation, which was in 2013, focused on social relationships and cognitive health. I've expanded my work really to think more about the needs of LGBTQ seniors. And, uh, I did some training in epidemiology, really understanding risk factors for disease in late life and some work in neuro imaging. So now as an assistant professor, I'm focused on, I have a career development award from the National Institute on Aging to look at dementia risk among LGBTQ older adults are, we use the term sexual and gender minority. KB:                 Sounds like you have a pretty diverse academic background. How did you get to where you are today? JF:                   A lot of this was driven by life experiences and a bit of, I would say my passion, but also I really believe in following things that I find rewarding and that I'm good at. So I started off really my focus in undergrad was around, I thought I wanted to be a medical doctor, but at the time I was actually coming to terms with my sexuality and finally having, you know, not being in high school, having some freedom to explore my own identity. Uh, I knew it wasn't the right time for me to be studying as much, but I was always very interested in health. So I ended up getting a bachelor's degree in health science with a focus on community health. And this was back over, uh, 16 almost 17 years ago. And there wasn't a huge focus on public health at the time. So I was really more of a health educator and a lot of my focus was on tobacco prevention among high risk groups. So I worked with the American Cancer Society as an intern and did a lot of health education outreach to blue collar workers, to high school students, any of the high risk groups that might be, you know, using tobacco. And I really found that rewarding, and so that prompted me to go get a master's in public health. And I did that at the University of South Carolina in Columbia. And it was a focus in health promotion, education and behavior. And there I was also, what drove my interest in aging a little bit was in high school I worked at an assisted living facility doing social activities on the weekends. So I was having to get up at like 6:00 AM and get to the assisted living facility to call Bingo at 9:00 AM KB:                 Very important. JF:                   Yeah, it was awesome. Coffee Talk, ice cream, socials, booking entertainment. It's probably one of the most rewarding jobs that I had. And so, uh, while I focused and sort of substance use and abuse and tobacco use for awhile, I worked actually in work site wellness. I decided, you know, in 2009 to go back and get my PhD. And so I did that at the University of Pittsburgh and I did some soul searching on sort of what was the most rewarding but also a population that I really cared about. And that's what drove me to kind of a focus in like gerontology. So I did that a lot of training and understanding dementia risk and mental health concerns in late life. So the importance of sort of, uh, other people, the value of being engaged in life, what brings people meaning and purpose. So I did some additional training, which eventually drove me. I got married to my husband in, uh, 2014 we really wanted to explore, you know, one living in a very inclusive environment, but also just to explore, you know, sort of our futures together. So we moved to San Francisco. So that was, you know, in 2015 that we moved here through just kind of me wanting to find ways that I can contribute. I ended up moving my work into understanding the needs specifically for LGBTQ people. It was definitely a, uh, additional time where I did some soul searching, right. So I, I had struggled a bit with, you know, moving to the area and people sort of being like, well, you're gay, you should focus on this area. And I, and I had experienced that even in my PhD training. You know, there was a, uh, a thought that I should also be doing, you know, sexual and gender minority work because I was a gay man. I resisted it for a while cause I, I felt a concern that I maybe was taking... One: I felt like very privileged. I'm a very fortunate, you know, I'm a gay white man. I have a lot of freaking privilege. And I also was concerned about taking advantage of that privilege but also to advance my career and potentially take advantage of a community that I actually really care a lot about. So I did some major soul searching and actually got a small grant from UCSF. It's a, so we call them the National Institute on Aging funds, these resource centers for minority aging research. And it was very fortunate that in like, I think 2016 the National Institute for Minority Health Disparities named LGBTQ people as a disadvantaged group that was vulnerable. And so they use the term sexual and gender minority. So that meant that there was, you know, an interest for these centers to focus on the needs of older LGBTQ people. And so I applied to one of the centers that UCSF, the Center for Aging and Diverse Communities, and I got my first grant to explore this work. It was also funded through, USCF has a Pepper Center, it's like the Claude Pepper Center, which is focused on aging as well and they all sort of supported this project. And the purpose of the project really was for me to explore what is, what are LGBTQ seniors concerns around dementia, but also to explore sort of life course. What were the experiences that these seniors had over their life that maybe could be considered protective, you know, sort of to help them be resilient in the face of aging concerns, but also to look at risk factors. And I wanted to understand, you know, were there unique risk factors? Uh, for instance, the literature showed higher rates of depression among LGBTQ people and we know that depression can be a two to three fold increase in your risk for dementia if you have depression, especially in late life. So I wanted to explore that, but also thinking of other minority populations, we know that there's a history of the LGBTQ older people facing discrimination and there's been work among racial ethnic minorities showing that discrimination leads to cognitive, you know, health problems and leave life. I started to really explore that and I did 20 interviews with LGBTQ seniors across, you know, living in San Francisco and in the bay area. And thanks to my community partners, I partnered with Open House here in San Francisco and I'll talk more about them, but also I partnered with Lavender Seniors in the Oakland, like the East Bay. And they helped me get the word out to seniors about participating in a two hour interview. And I really focused on recruiting racial, ethnic minorities as well as trying to identify trans seniors, uh, and other gender minorities. So I ended up interviewing two intersex older adults. These interviews changed my life, honestly, they were, um, I spent two hours or more with these incredible people who told me about their life story, told me about challenges they had overcome, told me about the, you know, how they fought for rights or, you know, even told me about really horrible experiences that they had encountered in their life of being, you know, uh, an LGBTQ person. Those experiences, you know, when I was thinking about, I said I was doing some soul searching I realized like, wow, everything I've learned, all of the topics, my commitment to aging and research have prepared me to do this work. Not only was I committed based on, you know, the stories I heard, but I felt like I as a gay man, had a connection to this community and that my skillset could be used to help. So that was in 2016 and since then I really have decided to commit my research and my, you know, my health education work and my teaching to this area. KB:                 That's incredible. What was the demographic breakdown of those 20 individuals? JF:                   A third of them identified as a racial ethnic minority, and I included, that was sort of diverse, So it included a American Indian, it included Asian Americans, Black, Latino. So for that sense it was pretty diverse. I also interviewed two intersex older adults. I was able to identify to trans older people as well as I recruited bisexual, gay, gay men living with HIV, lesbian and gender nonconforming. KB:                 Wow. So you, I mean, you really had a nice spectrum in those 20 individuals. JF:                   Yeah. Well, it was like a focus, you know with qualitative research you can do more of like a purposive recruitment so I was specifically trying, I thought some people have tried to pigeon hole me into like, well just study gay men or just study this group. And I really was more interested in, while our community has major differences, and sometimes things that really divide us, there was also some similarities and so I wanted to focus more on the broader needs of the community versus just for a specific group. KB:                 What was the push for, from other individuals to focus on a particular group? JF:                   I don't know if it's like this ideological... I am not really sure where it comes from. You know, if it's the thought that like, Oh, you should study a group that you're closest to that maybe you can add as much because I would not a, you know, I don't identify as a gender minority and it's true, I don't understand completely the experiences of other groups, but I don't think that that means I can't help. Right. And, yeah. So I've just framed it as like, I'm not, maybe it's like my own, like I don't care , what you say. And I'm very careful to make sure that that doesn't mean I should speak for those communities. So that's important to remember, but that doesn't mean that I can't help and help them be more informed, their community's needs. KB:                 Right. And I think with research, if you really break it down, you're just giving a voice to people. JF:                   Yeah. KB:                 You're just collecting information, drawing conclusions and telling, especially with qualitative information. Um, it's just an, it's just storytelling in a way. JF:                   Exactly. Exactly. And so you're putting a voice, you know, you're basically documenting in some way peoples experiences and their stories. Right. KB:                 With those 20 individuals, what did you, what were some conclusions that were drawn or, or I guess I should back up. What were some of, uh, questions that were presented to these individuals? JF:                   So it focused a lot on life. I wanted to know about childhood, relationship status, educational experiences, so really driven by sort of like a life course perspective. So I wanted to know like a structural factors that might have impacted their life. So things like education and economics and family, housing. Yes, exactly. Like all of the like formative stuff as well as you know, I wanted to talk about what was there, you know, coming out or kind of identity, experiences with their identity. So we dived into that. Uh, when they move to the bay area, what that was like a bit about experiences with discrimination, which there were incredible, like I was blown away. So these were people that were 60 and older. So you know, 40 years ago, maybe less people were being thrown in jail for being gay or identity, identifying as a, you know, a gender minority as well as some of those individuals were ostracized by the LGBTQ community. They weren't allowed to go to the gay bar. They weren't embraced by, you know, other groups. And then we learned of many, some of the Trans individuals that I had interviewed talked about like their family, not allowing them to be a part of, you know, if you want to come for the holidays you need to wear your boy clothes. Just experiences like that that I was just like, ahh, to hear, you know, to not be welcomed throughout, you know, a large part of your life as part of your family. So we touched on those experiences. I dived into some of what I wanted to learn about was even around victimization and trauma, which had to be a very careful, not everyone wanted to go there, which was fine. And obviously all of this was kept very confidential, de-identified, no one would know who they were. I changed, you know, the names of people, even events that they would list I would change the exact details so no one would be able to directly link what was said to them. But yeah, I was blown away, honestly. And not actually even drove one of the unique pieces and some of my work has started to look into the health needs of intersex adult. I was blown away. I interviewed two intersex older adults and I was just, the challenges, the trauma, the life adversity, issues with housing issues, with relationships, uh, not being welcomed into the LGBTQ community even. I was like, wow, more needs to happen. KB:                 For some intersex individuals, they are literally discriminated against as soon as they are born. JF:                   Exactly. Exactly. Yeah. So that's prompted me actually to, we have a, you'll learn, people will probably be thinking, ah, man, this guy has a lot of different projects, but I partnered with Interact advocates for intersex youth. We roll out one of the, first, it was a study looking at the health needs of intersex adult. Uh, so 205 people completed a survey that we developed with community members, with actual intersex people, uh, so that we could start to inform the medical community about the needs of intersex people. So it was, I mean we ask questions from health concerns, quality of life, mental how, but one of the big focuses of this survey was to look at healthcare experiences. Uh, how, how often are they having educate their health care provider on how to provide competent care? Right. Almost all the time, I think it was close to like 80%, right? We're saying like, I have to educate my healthcare provider on my needs or the fact of being a, many people need to have hormone therapy to stay healthy. And so they've often had to advocate on behalf of themselves in ways that just some of us would find impossible. KB:                 And as somebody who went through a medical training program you're taught all about the pathophysiology, the clinical impression, the medical treatment JF:                   Uh huh KB:                 So it's there. JF:                   Yeah. KB:                 So what's the problem? JF:                   Well, I think it's larger societal KB:                 Stigma. JF:                   It's discrimination. If we really just want to call it what it is, you're discriminating against a, a minority, uh, you know, gender or sexual minority and you are not going to give them the health care that they need. You're going to basically decide what they KB:                 Right JF:                   ...without completely, and I'm not saying every, every health care provider does that KB:                 Of course, JF:                   But I think it's more mainstream than we realize and so there's a need to really make some changes and that's what we're hoping to do with Interact. And I'm also working with a medical Suegee Tamar-Mattis who has done a lot of advocacy in this area, but now really wants to make an impact research wise, thinking about the health and health care needs of Intersex people. So we're starting to do some of that work KB:                 Sounds like have going on, which is incredible because all the things you're doing, in many respects have never been done before. JF:                   Yeah. KB:                 Or they've been done maybe in smaller quantities and smaller population groups. JF:                   Hmm. KB:                 I'm curious, when you publish the qualitative study for the 20 aging individuals, do you publish? All of... JF:                   It hasn't been published yet! KB:                 Oh, okay. Okay. JF:                   I presented on it a bit. I published on some similar areas, but we're in the process of getting that one published. We're going to probably send it to... A lot of the focus was on risk for dementia or Alzheimer's disease. So we're probably going to send it to one of the dementia journals. KB:                 Can you share some conclusions or is that confidential? JF:                   Yeah, sure. I mean what we basically found were, you know, people are concerned about dementia risk and their memory. Uh, there were a lot of the talks of that. There's also an interest in doing preventative behaviors, so that may be being more engaged in activities, doing cognitive stimulating, kind of like a luminosity or one of those kind of, you know, doing crossword puzzles or doing something that's, you know, brain games. So there was an interest in that. There's an interest in improving health so many talked about nutrition and thinking about aspects that are going to help their heart but also their brain. So there were talks on that. There was, what was unique was that many hadn't planned for what might happen. And so we talked quite a bit about the need for advanced care directives. Are you hearing my dog cry? KB:                 I'm hearing the dog cry. JF:                   Okay. I will. Tuna get over it. KB:                 It's all good. There's room for tuna and the interview. JF:                   Yeah, come on. Tuna. There's little tuna. KB:                 Awwww, Hi Tuna. So cute. So I am curious to know if you know with your experience kind of evolving into this specific specialty, were there particular differences in the LGBTQI aging population compared to prior research that you've done with non-LGBTQI aging populations? JF:                   I think what's unique is, Honestly, what I had studied a lot around was like access to social resources. And what really stood out to me is that there are a lot of deficits for LGBTQI seniors and access to social resources. So this includes things like, we think of it, you know, the academic term is like social support. So LGBTQI seniors are off, you know, most of them were single, did not have a partner. I would say a more than 90% of the ones that I interviewed and that was not a requirement to participate. So this was just me purposively like recruiting just diverse seniors who met the age requirement and no one had a partner pretty much KB:                 Which is very different than the average population. JF:                   Yes. KB:                 Or the general population. JF:                   Exactly. Very different. Income limitations were pretty huge. There were some that had more financial means, but on average many had a very fixed and income fitting into the you like that social support piece. Many did not have a very strong like support network. So if they had a health problem, if they needed a ride to the doctor, right. These were struggles! Uh, that I don't think other, you know, non LGBTQI have as much of a problem with they can rely on, you know, we do have in the U.S. a huge issue with like these nuclear families where they're spread all out throughout the U.S. but for even LGBTQI seniors, they didn't even have family members that necessarily they could rely on, they don't have children often to help them. And if their children lived in the city, they couldn't, like the piece with, uh, family members were like in the city, it was like they couldn't rely even on their children if they were in the city to necessarily help out. So I thought that was, you know, those really stood out as sort of these gaps for the community, especially as they're getting older and may need more help. They don't have it, they don't have resources. So that's why I've started working with community partners like Open House who is meeting that gap for LGBTQI seniors. KB:                 So what does open house do to manage that gap? JF:                   So Open House is, it's a nonprofit organization in San Francisco. It is led by Karyn Skultety, who is, uh, uh, has a doctorate in psychology and they focus on, one of their main missions is around providing housing to LGBTQ seniors. But they do even more than that there. They provide community programming. They can help seniors find resources, whether that's economic or social. Uh, they can link them to health services. They have a large team, they have social workers that are doing care management. One of the unique pieces that Open House is doing in the city is around housing. So they have 55 Laguna, which is the first LGBTQ inclusive housing that's affordable for LGBTQ seniors in the city. And it's very close to the Castro as well as conveniently located. It's right down the street from San Francisco's LGBT Center. They also have access to grocery stores nearby. So it's very conveniently located and the exciting news is that they're opening their second high rise in 2019, uh, 95 Laguna or the Marcy Edelman and Jeanette. It's, a, named after the founders, uh, Marcy Edelman and I have to get Jeanette's last name (Gurevitch), but uh, it's named after them. They were, uh, basically a psychologist and a social worker that were focusing, you know, many years ago on the needs of LGBTQ seniors and their work has just been extended to now, there's a nonprofit, you know, that's really meeting these needs. But soon they're going to have over a, you know, a hundred units for LGBTQ seniors to live in so it's really amazing. I'm doing more work with them that we're actually working on a with On Lok. So On Lok is a nonprofit in the city that provides services to older adults. Uh, their history was initially working with the Chinese community, provide care to aging individuals and their families through adult day social programs and also what we call P.A.C.E: Program for All Inclusive Care for the Elderly. And uh, so now they're partnering with Open House and I'm working with them as well, doing some doing a needs assessment to learn about how can we develop one of the first adult day social programs for LGBTQ seniors. KB:                 Can you expand a little bit on the importance or the correlation between the aging LGBT and housing crisis? JF:                   So what we're seeing is, you know, there's this common, and I think society needs to really think about where this is coming from, but there's this common thought that LGBTQ seniors are better off than their non-LGBTQ counterparts. This thought that like they make more income because they didn't have children. This thought that maybe they have more education and this is really a huge bias. And one, we know that the most well representative members of the community are gay men and typically gay, white men, right? And that doesn't reflect everyone's experience. And so what we're actually finding is, as I said, there's these huge gaps in the social resources for LGBTQ seniors, including white gay men. So it is not, you know, this stereotype or kind of perception is not, does not apply to everyone. Um, and it's probably just a few and some of the bias in recruitment and research in the past. But what we've seen is that are LGBTQ seniors have major income limitations. Many of them may be on disability or are, you know, not working any longer and have to rely on social security, which the amount that they receive is very little, especially when you think that most LGBTQ people move to urban environments because of the acceptibility, um, the opportunity to find others that were like minded or more open minded. Right. And so this is a history of sort of, if we think about LGBTQ rights and some of the historical aspects that our communities faced: the aids epidemic and some of the other, you know, fighting for rights and where trans people could feel safe, they move to urban environments. And this is where they built their chosen families and all of their support networks. And what we're seeing across the nation, you know, they, they talk historically about, there was this, they call it like white flight: this history of a very affluent, you know, individuals leaving cities because they wanted to move to the suburbs. Well those with less for like, well this is a great opportunity for us to move to the urban environments because it's going to be affordable. And so there's sort of this history now of well now people want to move back to cities. Um, and so this has caused the cost of housing to skyrocket, KB:                 Especially in San Francisco. JF:                   Especially in San Francisco, also New York City. KB:                 And in LA too. We're having lots of problems. JF:                   We're even seeing it in place at small places like Portland KB:                 ...and Denver, JF:                   Denver. KB:                 Austin, yeah. JF:                   Yeah. Everyone wants to be back in the city. There's this maybe realization of one. I think everyone having cars as an aid computes impossible. So everyone wants to live closer to work. This has caused the cost of housing and urban settings to increase in a way that is like insane. And guess who's taking some of the brunt of it are, you know, the people that were living in cities that, you know, a long time ago, uh, when there was this, you know, so this includes LGBTQ seniors, especially those in San Francisco and New York, LA, some of the larger cities. We're having problems with landlords evicting people because they know they can charge more rent. People are on very fixed incomes, they also have health challenges. They don't have the support they need to age in place. And so this is causing major challenges KB:                 And rent controlled apartments are being sold or passed down to families and they're selling them for a gagillion dollars JF:                   Or this airbnb movement where people are like, I'm going to kick you out and now put my apartment on airbnb because I can make you know, four times the amount of money that are, I was making. So, you know, with all of this, and I think also tech, you know, with the, you know, the rise in tech and tech moving to urban environments, especially San Francisco, that it's caused, you know, a lot of these challenges for allowing, especially LGBTQ seniors to age in place and stay in their communities. So we had to think of solutions to help make sure that they're not forced to leave. KB:                 Well, it's great to know that there's people doing the work and, and you're doing the work and you're partnering with people who are doing the little work, which is incredible. Are there any challenges that you've faced pursuing this particular type of research? JF:                   There are, you know, especially in, so I had already mentioned that there was this bias and I think that was coming from some of my experiences, basically saying that lgbt, they couldn't see why LGBTQ seniors would be considered a disadvantage group. So I had to do a lot, lot of educating. Even my colleagues, you know, had this bias that basically LGBTQ people were white gay men with, you know, what do we call it, this terminology "DINKS": double income, no kids, right? KB:                 I just learned this. I guess I'm a little behind the time, but now I like I'm hearing it everywhere. JF:                   That was the common misperception that that's what the community was like and why do they need any help? And that bias was really hard. And I think a lot of people still think this, you know, across the nation. So part of what we've had to do is educate them that that's not the case. And that's what maybe you see in the media or those who are getting a lot of the attention. But not everyone is Neil Patrick Harris, you know, and living it up and you know, has more resources than the average individual. KB:                 People also don't realize that individuals that survived the AIDS and HIV crisis, their goal at the time was to survive. JF:                   Yes. KB:                 Whether you are a positive or negative and the people that did survive weren't thinking about their retirement or their 401K or their life 30 years down the road. JF:                   Yeah. KB:                 Because they just needed to worry about today JF:                   And people don't know about some of the economic things for this unity as well. So what for many individuals living with HIV, uh, they were especially at least here in San Francisco because of discrimination and such people couldn't work. So many of them were eligible for disability and so they'd been living on disability. Well, what happens when they turn 65 and some, you know, depending on what the rules are for social security, they then have to go on social security because of entitlement based on age. And it's much less than what people were getting with disability. So now, as they're getting older, you know, they've been become accustomed to a certain amount of money they were getting monthly, which is still not very much. And then even, you know, three to $400 decrease in your benefits is huge! That may be your food for the month or that may be part of your rent. So then it, you know, for those individuals it makes it even more impossible to age in place and stay, you know, where they want to be. KB:                 What are some uplifting, positive stories that maybe you can share with the listeners? JF:                   Well, I had met him like I've met these trail blazers, right? And these trailblazers, I mean I've met people that are, you know, resilient, overcoming challenges in a way that they've, they've stayed healthy, they've overcome it, they fought for the rights of others, they're educating, they're helping each other. So the example would be, I've done some qualitative work as well at Open House's 55 Laguna theirfirst LGBTQ senior high rise. And what we're seeing is like we're rebuilding community. There was a, an example, one of the, the people living at 55 Laguna fell and broke their hip and a typical place they may become extremely, you know, living in their own independent apartment in the city, they likely would become very isolated and may not be able to care for themselves; get food, be able to, you know, maintain hygiene and even some of the daily things we need to do that we take for granted. Like doing your own laundry or cleaning your apartment. So we saw at 55 Laguna just from interviewing people the whole floor came around and supported this person. They were bringing meals. If they made dinner, they made an extra plate for this person. They would stop by when they were going to the grocery store and be like, what do you need? How can we help you? Providing, you know, of emotional support, stopping in and just spending some time with this person, seeing how they're doing, you know? And then there's just the advocacy work; getting to work with community members that are, I mean, making very little income wise and in one of the most expensive cities in America. Right. And they're helping LGBTQ seniors every day to make their life better. So to get to just know some of the people at open house like Karyn Skultety, Michelle Alcedo, Ariel, Jesse, Sylvia, these are just a few of, you know, getting to meet some of these amazing people that are changing the lives of LGBTQ seniors. I, as I said, it's so important. I'm not alone in doing this work and so that to me is probably the most rewarding. I'm meeting like LGBTQ seniors that volunteer at the front desk and are helping the community, answering phones, directing people to resources, 95 Laguna just actually their lotteries coming, they're revealing the results on Tuesday and the number of volunteers that were helping LGBTQ seniors sign up for the housing lottery... I was just like alright, we, we are going to help our community. There are people that are committed volunteering their time to help LGBTQ seniors. And I have a picture, also a group had donated, 90, over 90 present, uh, at the holidays to isolated LGBTQ seniors. It was like incredible. KB:                 What a beautiful thing. JF:                   Yeah. It's, it's just been like each, you know, each day I work in this area, I'm like, this is what I'm supposed to be doing. This is like, not only personally rewarding, but to even have a little, you know, a small opportunity to make an impact in the lives of a community that I respect, that I am grateful everyday for what they've done for us. Uh, around LGBTQ rights. I've met some of the trans women that were at the Compton's cafeteria, you know, fighting for trans Rights in San Francisco. I've met, you know, people that have been, that knew Harvey Milk and were there during, you know, the LGBTQ movement in San Francisco. I'm just like, ah, this is amazing to get to even talk to one of these people. Um, so I hope that more and more LGBTQ people my age and younger start to realize how much this community has done for us and the importance of learning from our elders, but also really respecting them and being grateful that they've made an impact on changing laws, helping...I wouldn't be able to study LGBTQ health right now if it wasn't for what they had done. KB:                 And it's beautiful to see that you're dedicating your studies and career to this particular group; I would imagine, never expecting to be where you are today based on where you started. JF:                   Oh no! I didn't think that this would be... you know, but I didn't get her alone. You know, it's a, I'm at the UCSF School of Nursing. I've had an amazing mentor, Julene Johnson who, um, she's the Associate Dean of Research and I'm at the Institute for Health and Aging. And then I'm affiliated with like the Institute for Health Policy Studies. I'm a member of the faculty on a group, it's called Health Force that does training for health care professionals. I'm a member of a HRSA funded health workforce research center on longterm care. So I'm get to work with amazing colleagues like Joanne Spetz, who's one of the experts in the economics of nursing and the nursing workforce. I'm a scholar with our clinical and translational science institute. Now I'm working, I'm a volunteer researcher at Kaiser Division of Research plus, I've already talked about the Center for Aging and Diverse Communities and the Claude Pepper Center at UCSF. You know, I've talked a little bit about researchers not being supportive of the area, but on it, you know, me listing off seven or eight groups that I'm affiliated with, shows like there, there's a lot of support and I think that, yeah, it's happening and I, and I think it'll continue to happen. KB:                 Can you describe a network of maybe other researchers doing similar work to you, maybe in other areas of the country or the world? JF:                   So one of the big groups, at least in aging, is the Gerontological Society of America has a, what they call the Rainbow Research Group. And so this is a group of people in the field of Gerontology that are all doing, you know, work in this space. It's been just like amazing to get to, ahh, work with these people. There's also the American Society on Aging has a group that does work, LGBT Aging Issues Network. We're actually inviting, uh, speakers from other institutions. So for instance, we're going to have Ilan. Meyer from UCLA is Williams Institute. KB:                 Awesome! JF:                   Yeah. So Ilan's is going to come and actually give a talk on his work in Minority Stress and understanding, you know, for LGBTQ people or how minority stress in a sense gets under the skin and impacts health. So we'll have that. Um, I'm also a part of, so there's the National Institute on Aging has a group focused on broader disparities for minority populations and this is open to people with terminal degrees that are doing research. So they are probably a professor in some sort of doing research and it's called the Butler William Scholars Program and it focuses on minority aging. And I, I've been a scholar in the past with that. KB:                 So it sounds like there's a lot of research and opportunities kind of coming up. JF:                   There are, there's actually like the, what I think some of this created was like the National Institutes of health has a sexual and gender minority, a research program. and so it's led by Karen Parker, who's a researcher at the NIH that's also helping to create a network of researchers focused on LGBTQ health. So we have that work happening. Uh, and actually there's going to be a regional workshop, uh, in LA at UCLA in like late February. They haven't announced the open call. Um, but I'll definitely make sure to send that to you so you could share with people that are interested in research and wanting to learn more. Yeah, I'm giving a talk on how to, as a junior person, how did I get my career started in LGBTQ health? So... KB:                 Excellent. So I think a lot of people assume you have to be a researcher or a scientist or in academia to participate in research. What can the community do to be involved in such research? JF:                   I think it's like looking for oppor... So one of the groups I also work with is the Pride Study. So it's the Pride Study, I think it's dot org. It's actually an online platform focused on really learning about the needs of Lgbtq people. And then another national effort is the All of Us Study, which is focused on everyone. Um, but we're really encouraging LGBTQ and gender nonconforming individual to consider being a part of that. It's a larger focus actually with the Affordable Care Act that helped to make this happen where we're trying to learn about the needs of everyone and using some precision medicine efforts so that we can start learning what type of care works well for LGBTQ people. What are some of the health concerns as well as maybe some of the potential treatments that might be ideal for our community. So I would definitely encourage, you know, if you're interested in research getting involved in either the Pride Study or the All of Us Study. I also think it's volunteering, whether that's volunteering to help researchers or volunteering to do work in the community with LGBTQ people, whether that's youth or older adults or people that maybe have more challenges. But being a part of that will help, you know, improve the lives of our community, but also can be very rewarding. KB:                 That's amazing. And I appreciate all the work you're doing. I always like to end the interview by asking the person why they feel like their job is important. JF:                   Why do I feel like my job is important? Let me think. I mean for me it's like such a like personally rewarding career to have, but I think why it's important, especially with what I'm doing in aging is like the system of the... we have seen for LGBTQ people, especially those that are older, that they've been made invisible. And this happens from both their own community but also, you know, broader society. So my hope is that my work will make our LGBTQ seniors more visible, but also to help educate healthcare professionals, researchers, the public about this community and their needs and ways that we should be helping to improve their lives. Whether it's advocating for new policies, advocating for better care, advocating for training, or you know, even as I've said, some of the basic living needs, so advocating to ensure that we have affordable and inclusive housing. So I'm, you know, really hoping the, this work, um, helps in some way to do that. ***END INTERVIEW*** ***CONCLUSION: KB ONLY*** For information about future episodes or to contact us, please visit us at our website www.queermeducation.com or email us at queermeducation@gmail.com ***OUTRO MUSIC***

Joan discusses the benefits of the PACE program (Program of All Inclusive Care for the Elderly) with Erica Squires, the intake coordinator of Elder House PACE.

Bill explains what the Programs of All-Inclusive Care for the Elderly (PACE) program is and how it can benefit seniors who have serious disabling conditions that would normally require nursing care. Who qualifies and what benefits does the program provide? Listen to the episode below for those answers. 

When you have an loved one growing older, it can be a challenging process to figure out what’s best for their living situation, and who will help take care of them. LIFE (Living Independently For Elders) at Lourdes is the newest healthcare choice for elders living in Southern New Jersey. Lourdes offers Program of All-Inclusive Care for the Elderly (PACE), a unique program that can assist elders to live safely at home while being helped by a team of healthcare experts.Listen in as the Medical Director of Life Saint Francis, Dr. Pam Fenstemacher shares the services that are provided as well as who is eligible, the goal of the program, and why PACE is a great option for your loved one.

Dr. Rigamer is the Medical Director for Catholic Charities Archdiocese of New Orleans. He is responsible for increasing access to quality health care for vulnerable populations. He is a practicing psychiatrist in the Daughters of Charity community health centers where he leads an initiative to integrate primary care and behavioral health. He directed Louisiana Spirit and other disaster relief programs for victims of Hurricane Katrina. In 2007 he opened the first Program for All Inclusive Care for the Elderly (PACE) in New Orleans. He was named a 2008 Healthcare Hero by New Orleans City Business magazine. Prior to joining Catholic Charities, Dr. Rigamer served the U.S. Department of State as Medical Director advising the Secretary of State on international health issues and the health needs of Foreign Service diplomats and their families. He served in U.S. Embassy posts in Europe, the former Soviet Union, and South Asia. Dr. Rigamer has held positions with Kaiser Permanente HMO and Ochsner Clinic and was a Peace Corps Volunteer Physician in Monrovia, Liberia. Dr. Rigamer is a Diplomate of the American Board of Psychiatry and Neurology and the American Board of Child Psychiatry, a Fellow of the American Psychiatric Association, and a member of Physicians for a National Health Program and Alpha Omega Alpha. Dr. Rigamer received his training in psychiatry at the New York Hospital-Cornell University and Albert Einstein College of Medicine in New York. He received his MPA from Harvard.

Welcome! My guest today is Peter Fitzgerald, who is the Executive Vice President for Policy and Strategy for the National PACE Association (Program of All-Inclusive Care for the Elderly.) The PACE program helps guide the association policy and advocacy efforts at the federal and state levels. The program is always looking to improve services for those needing long-term care. What is the PACE program and its history? PACE provides all the programs that the elderly need, from health care services to long-term care, all designed to keep seniors living in a community-based setting at home. It began as a pilot program in Chinatown in San Francisco, because the Chinese culture is based strongly on keeping elders at home with their families and out of nursing homes. Alternatives were explored to keep them living in the community with some assistance. The program began with a Daycenter that provided meals and healthcare and remedied the social isolation that some seniors feel. Over time, more services were added to the model. Now, people enroll in the program, which is sponsored by local healthcare provider organizations. PACE meets all the healthcare needs of the seniors except housing, but provides transportation, day centers, therapy, rehabilitation, meals, doctor visits, and home care services. The overall goal of the program is to keep seniors living in the community rather than in nursing homes. Is it true that the PACE program is its own network of doctors and facilities combined into one? Yes, it’s designed to be a complete system. PACE programs employ their own doctors, nurses, practitioners, home health aides, home health nurses, and transportation services. The program secures contracts with hospitals for Medicare services and other needs.  Which Medicare coverage will pay for the PACE program? Upon enrollment, the PACE program becomes the source of all Medicare benefits and replaces traditional Medicare or Medicare Advantage Plans. Medicare actually pays the PACE program monthly for patient care, so in reality, it’s like another Medicare Advantage Plan. Who is eligible for PACE? Enrollees must be 55 or older and live within a PACE service area, which is usually about a 45 minute driving radius. The program becomes all-encompassing health care, so patients must have access to a PACE center within a reasonable distance. The program is designed for those with complex and chronic needs. However, if someone has to enter a nursing home during their care, then the program does continue for them, even though they were not able to remain at home. Almost one-half of PACE enrollees have some sort of dementia diagnosis, so do you think those numbers will continue to increase? The dementia and Alzheimer’s diagnoses are a potential area of growth for PACE. The president recently signed into law the creation of some new PACE programs that allow enrollment for some people under age 55. Early intervention may help people improve and maintain their quality of life. What would the average cost be for a private pay patient under the PACE program? It would vary greatly from state to state, but the average would probably be around $3000/month with no co-pay or deductible. The rate is determined by the state, but remember that long-term care is included in the program, AND you get to stay in your home with your loved ones. Is PACE considered “for profit” or “not for profit”? The program originally began as “not for profit,” but has since allowed “for profit” sponsorships. There is currently only one “for profit” PACE program operating in PA, but these will become more widely available in the future. How many PACE programs are there? In 32 states, there are 116 PACE organizations currently serving 220 communities. You can find out more about the program and its availability in your local area by visiting www.pace4u.org or www.npaonline.org. You can also call 703-535-1565, find them on Facebook, or on Twitter @TweetNPA. Can individuals volunteer or donate within the PACE program? YES! There are many ways to volunteer and donations are always accepted. Check with your local organization for further information.   Thank you for listening! If you enjoyed this podcast, please subscribe and leave a 5 star rating and review in iTunes! (Click here)       Find out more information about Medicare on Diane Daniel’s website!  www.CallSamm.com  

Three months of Congress condensed into under one hour. In this episode, we take a look at our new laws, some controversial bills, and the most interesting hearings from September, October, and November. This episode is also a call for feedback: Which hearings sound most interesting to you?   Please support Congressional Dish: Click here to contribute with PayPal or Bitcoin; click the PayPal "Make it Monthly" checkbox to create a monthly subscription Click here to support Congressional Dish for each episode via Patreon Mail Contributions to: 5753 Hwy 85 North #4576 Crestview, FL 32536 Thank you for supporting truly independent media! Hearings Worth Watching Please email your top 2 hearing requests to Jen at congressional dish dot com or Tweet them to @JenBriney House Ways and Means Committee: Trading Views: TPP Hearing - Environment Chapter, November 17, 2015. Witnesses Dr. Joshua Meltzer, Senior Fellow in Global Economy and Development, Brookings Institution Alexander von Bismarck, Executive Director, Environmental Investigation Agency Ilana Solomon, Responsible Trade Program Director, Sierra Club Dr. Rashid Sumaila, Professor, Fisheries Economics Unit of the University of British Columbia House Ways and Means Committee: Trading Views: Real Debates on Key Issues in TPP, December 2, 2015 Witnesses: Matt Porterfield, Deputy Director and Adjunct Professor, Harrison Institute, Georgetown University Law Center Ted Posner, Partner, Weil, Gotshal & Manges LLP Michael Smart, Vice President, Rock Creek Global Advisors LLC Thea Lee, Deputy Chief of Staff, AFL-CIO House Committee on Armed Services: Outside Views on the Strategy for Iraq and Syria Witnesses: John McLaughlin, Former Acting Direction of Central Intelligence Ambassador Ryan Crocker, former Ambassador to Syria and Iraq House Committee on Foreign Affairs: Charting the Arctic: Security, Economic, and Resource Opportunities, November 17, 2015 Witnesses Admiral Robert Papp, Jr., USCG, Retired: U.S. Special Representative for the Arctic, U.S. Department of State Rear Admiral Timothy C. Gallaudet, USN: Oceanographer and NavigatorU.S. Department of Defense Vice Admiral Charles D. Michel, USCG: Vice CommandantU.S. Department of Homeland Security Senate Armed Services Committee: The Future of Warfare, November 4, 2015. Witnesses: Keith B. Alexander Director (Former) National Security Agency Bryan Clark Senior Fellow Center for Strategic and Budgetary Assessments Paul Scharre Senior Fellow and Director Center for a New American Security->20YY Warfare Initiative Peter W. Singer Senior Fellow New America House Committee on Agriculture: American Agriculture and Our National Security, November 4, 2015. Witnesses John Negroponte, Vice-Chairman, McLarty Associates Dr. Tammy Beckham: Dean, College of Veterinary Medicine, Kansas State University House Committee on Oversight and Government Reform: Examining Law Enforcement Use of Cell Phone Tracking Devices, October 21, 2015 House Committee on Energy and Commerce: Update on Low Level Radioactive Waste Disposal Issues, October 28, 2015. Witnesses: The Honorable Michael Lumpkin, Assistant Secretary of Defense for Special Operations and Low Intensity Conflict The Honorable Matthew Armstrong, Broadcasting Board of Governors Brigadier General Charles Moore, Joint Staff, J-39 House Committee on Energy and Natural Resources: Strategic Petroleum Reserve and Energy Security, October 6, 2015. House Committee on Armed Services: Countering Adversarial Propaganda: Charting an Effective Course in the Contested Information Environment, October 22, 2015. Committee on Energy & Commerce: Broadcasting Ownership in the 21st Century, September 25, 2015. National Emergencies Extended National Emergency in respect to Sudan, originally declared in November 1997 National Emergency in respect to the attacks of September 11, 2001, originally declared on September 14, 2001 National Emergency in respect to the Democratic Republic of the Congo, originally declared in October 2006. Links to Laws, Bills, & Hearings November 2015 October 2015 September 2015 Campaign Contribution Info Rep. Garland "Andy" Barr of Kentucky Rep. French Hill of Arkansas Rep. Ann Wagner of Missouri Rep. Todd Rokita of Indiana Rep. Mark Amodei of Nevada Rep. Tom Marino of Pennsylvania Rep. Don Young of Alaska Rep. Joe Barton of Texas Additional Reading IMF document: Republic of Congo: Letter of Intent, Memorandum of Economic and Financial Policies, and Technical Memorandum of Understanding, International Monetary Fund, June 29, 2006. Article: Ward in Congo: U.S. Military will Continue Supporting Security Assistance Activities by Kenneth Fidler, US AFRICOM Public Affairs, April 27, 2009. Article: Joseph Kabila and Where the Election in Congo Went Wrong by Mvemba Phezo Dizolele, Foreign Affairs Magazine, November 28, 2011. Research Paper: Toward Comprehensive Reform of America's Emergency Law Regime by Patrick Thronson, University of Michigan's Journal of Law Reform, March 23, 2013. Article: NSA Snooping Was Only the Beginning. Meet the Spy Chief Leading Us Into CyberWar by James Bamford, Wired Magazine, June 12, 2013. Article: U.S. Repeals Propaganda Ban, Spreads Government-Made News to Americans by John Hudson, Foreign Policy Magazine, July 14, 2013. Article: Special Report: America's perpetual state of emergency by Gregory Korte, USA Today, October 23, 2014. Article: Tiger Resources' Congo copper mine gets $160 million investment Reuters, October 23, 2015. Article: Congress Acts to Avoid Commuter Rail Shutdown by Daniel Vock, Governing, October 29, 2015. Article: The Best Way to Prevent Drunk Driving? That's Debatable by Daniel Vock, Governing, November 17, 2015. Article: Congress approves $305B highway bill by Bart Jansen, USA Today, December 3, 2015. Article: After a Decade, Congress Passes Transportation Funding by Daniel Vock, GovTech.com, December 3, 2015. Article: Cyber bill's final language likely to anger privacy advocates by Cory Bennett, The Hill, December 7, 2015. Website: Private, For-Profit Demo Project for the Program of All-Inclusive Care for the Elderly (PACE), Centers for Medicare and Medicaid Services Music Presented in This Episode Intro & Exit: Tired of Being Lied To by David Ippolito (found on Music Alley by mevio) Cover Art Design by Only Child Imaginations