PODCAST

LeverAGE

American Society on Aging

LeverAGE is the latest podcast from the American Society on Aging (ASA), covering the politics of aging. Hear from policy experts, grassroots organizers and the ASA community as we push for stronger policies and better platforms for all of us as we age.

A Call for a National Dementia Prevention Goal
May 19 2021
A Call for a National Dementia Prevention Goal
Alzheimer’s disease and related dementias impact more than 6 million families, with 15 million projected to be affected by 2050. Although we’re learning that it is possible to reduce the risk of dementia and slow the rate of cognitive decline, we do not yet have a national effort focused on prevention. Kelly O’Brien from UsAgainstAlzheimer’s and Dr. David Hoffman of Maria College and the National Association of Chronic Disease Directors talk about why we need a national dementia prevention goal, and how public-private partnerships can advance the fight against Alzheimer’s and related dementias.Hosted by: Leanne Clark-Shirley, PhD, Vice President, Programs & Thought Leadership at the American Society on Aging with Peter Kaldes, President & CEO of the American Society on AgingGuests:Kelly O’Brien, Executive Director, Brain Health Partnership, UsAgainstAlzheimer’sDavid Hoffman, DPS, CCE, Associate Dean for Academic Initiatives and Government Affairs, Maria College, additional faculty appointments with Alden March Bioethics Institute at Albany Medical College and University at Albany School of Public Health and Associate at Large Director, National Association of Chronic Disease DirectorsResources:A Shared National Goal to Reduce Dementia Prevalence Call for a National Dementia Prevention GoalDementia prevention, intervention, and care: 2020 report of the Lancet Commission Public members of the advisory council on Alzheimer's research, care and services: 2020 recommendations
Improving Care for Older Patients
Mar 24 2021
Improving Care for Older Patients
A large share of healthcare costs results from unplanned hospitalizations, many of which happen as a result of chronic diseases among older patients. But acute care doesn’t necessarily need to happen in the hospital. Innovative models are successfully responding to unplanned acute health episodes among older people, and interrupting care trajectories that typically lead to hospitalizations. This LeverAGE episode covers initiatives like the Centers for Medicare & Medicaid Services’ new Acute Hospital Care at Home program, and West Health’s collaboration with the Institute for Healthcare Improvement to develop innovative responses to older adults’ unplanned acute health events. These innovative models not only address costs, but also can improve health outcomes.Host: Leanne Clark-Shirley, PhD, Vice President, Programs & Thought Leadership, American Society on AgingGuests:Bruce Leff, MD, is professor of Medicine and director of The Center for Transformative Geriatric Research at Johns Hopkins University School of Medicine in Baltimore, bleff@jhmi.eduAmy Stuck, PhD, RN, is senior director of Value-Based Acute Care at the West Health Institute in San Diego. Contact, arstuck@westhealth.orgThis episode was sponsored by West Health Policy CenterResources:Generations Journal Vol. 43, Supplement 1, “Older Adults and America's Healthcare Cost Crisis” The Hospital at Home Users GroupTechnical Assistance Center West Health - Home and Community-Based Acute Care Improved Cost and Utilization Among Medicare Beneficiaries Dispositioned From the ED to Receive Home Health Care Compared With Inpatient Hospitalization
Value-Based Care and Telehealth
Mar 17 2021
Value-Based Care and Telehealth
Prior to the COVID-19 pandemic, the use of telehealth and virtual care was growing, slowly. But since last March, telehealth use has skyrocketed as the Centers for Medicare & Medicaid Services (CMS) quickly expanded access to telehealth for Medicare beneficiaries, and many private insurers followed suit. Healthcare organizations that had already adopted value-based care models were able to pivot to telehealth more quickly. In this episode of LeverAGE, ASA talks with a panel of experts about why that’s the case, how the use of virtual care has grown among older patients, what barriers still exist and what healthcare leaders and policymakers should do to remove those barriers and encourage growth in a sustainable way. Host: Leanne Clark Shirley, PhD, Vice President, Programs & Thought Leadership, American Society on AgingGuests: Amy Herr, MHS, Director of Health Policy, West Health Policy Center, aherr@westhealth.orgMichael Kurliand, Director of Telehealth, West Health Institute, mkurliand@westhealth.org Jennifer DeYoung, Director of Policy, Building Blocks of Health Reform, United States of Care, jdeyoung@usofcare.org This episode was sponsored by West Health Policy CenterResources:West Health is a family of nonprofit and nonpartisan organizations dedicated to lowering healthcare costs to enable successful aging. Solely funded by philanthropists Gary and Mary West, West Health includes the Gary and Mary West Foundation and the Gary and Mary West Health Institute in San Diego, and the Gary and Mary West Health Policy Center in Washington, DC. United States of Care is a nonpartisan organization committed to ensuring that everyone has access to quality, affordable healthcare. The organization aims to drive a unique cross-sector, people-centered approach to prioritizing, creating and advancing state and federal policies that meet the needs of people and result in a more equitable healthcare system.Playbook—Older Adults’ Experience of Virtual Care: Action Steps to Increase Access and Equity Gary and Mary West PACEAvera eCARE Senior CareLandmark Health
Prescription Drug Pricing
Mar 11 2021
Prescription Drug Pricing
Prescription drug prices are at unprecedented levels. There is a huge human impact to not being able to afford medications: according to a new study by West Health, over 1.1 million people insured by Medicare could die over the next decade because they cannot afford their prescription medications. For some time, drug spending in Medicare Parts D and B has grown faster than overall Medicare spending. Rather than negotiate drug prices itself, Medicare allows private insurers to negotiate prices on its behalf for pharmacy drugs under the Medicare Part D program. For drugs administered by physicians under the Medicare Part B program, Medicare currently pays whatever manufacturers charge, with no negotiation at all. This episode covers how negotiation rules could better serve patients and taxpayers, and what policy strategies might help drive costs down.Host: Leanne Clark Shirley, PhD, Vice President, Programs & Thought Leadership, American Society on AgingGuest: Ameet Sarpatwari, PhD, JD, is an Assistant Professor of Medicine at Harvard Medical School and the Assistant Director of the Program On Regulation, Therapeutics, And Law (PORTAL) within the Division of Pharmacoepidemiology and Pharmacoeconomics at Brigham and Women's Hospital in Boston. ASARPATWARI@BWH.HARVARD.EDU This episode was sponsored by West Health Policy CenterResourcesGenerations Supplement Article: A Modest Proposal: Negotiate Medicare Drug PricesHigh Drug Prices and Patient Costs: Millions of Lives and Billions of Dollars Lost Competition and price among brand-name drugs in the same class: A systematic review of the evidence H.R. 3 Elijah E. Cummings Lower Drug Costs Now Act
The Healthcare Cost Crisis and California’s Master Plan for Aging
Mar 3 2021
The Healthcare Cost Crisis and California’s Master Plan for Aging
High healthcare costs, social isolation, loneliness, food insecurity, malnutrition and issues related to housing have impacted older people for decades, and the COVID-19 pandemic has made these issues even worse. In this episode of LeverAGE, we explore America’s healthcare cost crisis, and common-sense ways to lower costs and enhance care for all Americans as we age. We also cover the latest developments in California’s statewide effort to build a Master Plan for Aging, a 10-year blueprint that will help guide state government, local communities, private organizations and philanthropies to build environments that promote healthy aging. California is among the first in a handful of states to build a plan in response to our society’s aging, following a process that can serve as a model for other states and the federal government to follow.Host: Peter Kaldes, CEO of the American Society on AgingGuests:Shelley Lyford is President and Chief Executive Officer of West Health, Gary and Mary West Foundation, and West Health Institute; and Board Director of Gary and Mary West Foundation.Timothy A. Lash, MBA, is Chief Strategy Officer and Executive Vice President of West Health; President of West Health Policy Center; CEO and President of Gary and Mary West PACE; and Board Director of Gary and Mary West Foundation. This episode was sponsored by West Health Policy CenterResourcesGenerations | Winter 2019-20 | Older Adults and America's Healthcare Cost CrisisNew COVID-19 Vaccine Site for Vulnerable Seniors at West PACE in San MarcosInside California’s New Master Plan for Aging: An Opportunity for Reimagining and Reform