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Terry Fulmer

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CMS reports success in home-based primary-care pilot program

CMS reports that a pilot program to deliver primary care to patients in their homes saved a total of $7.8 million  — an average of $746 per beneficiary — in its second year. Fifteen practices covering more than 10,000 beneficiaries took part in the second year of the Independence at Home Demonstration.

Many experts have long argued that home-based primary-care services could help cut the high costs associated with hospitalizations, especially for old people.

HealthcareDIVE commented: “The Independence at Home Demonstration was intended to explore ways that multidisciplinary teams of healthcare providers can improve health for beneficiaries while reducing costs. If the recently reported financial results are any indication, the strategy might be a successful one.’’

While home-based primary-care services can help address the health challenges of American’s swelling number of old people, only 12 percent of homebound individuals reported having these services available, Terry Fulmer, president of the John A. Hartford Foundation, told The Huffington Post.

To read his piece in The Huffington Post, please hit this link.

 


Challenges/opportunities in the geriatrician shortage

oldlady

This New York Times story discusses the lack of geriatricians in the U.S., even with the flood of aging Baby Boomers. To us at Cambridge Management, it also suggest huge potential for healthcare organizations to increase revenues and widen operating margins by recruiting and retaining geriatricians and other clinicians expert in dealing with elderly patients. But, as this story suggests, geriatricians’ pay needs to be increased and medical schools, hospitals and other healthcare organizations and private- and public-sector payers need to do more to promote this essential and badly understaffed specialty.

As The Times story says: “Geriatrics is one of the few medical specialties in the United States that is contracting even as the need increases, ranking at the bottom of the list of specialties that internal medicine residents choose to pursue.”

“One of the greatest stories of the 20th Century was that we doubled the life expectancy of adults,” Terry Fulmer, president of the John A. Hartford Foundation, which funds programs to improve the care of the elderly, told  The  Times. “Now we need to make sure we have all the supports in place to assure not just a long life but a high quality of that long life.”

There are about 7,000 U.S. geriatricians in practice today.  The American Geriatrics Society estimates that to meet the demand, medical schools would have to train at least 6,250 additional geriatricians between now and 2030, or about 450 more a year than the current rate.

 

 

 

 

 

 

 


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