Aging

Doctors Weigh Pros and Cons of Prescribing Hot-Button Alzheimer’s Drug

The potential benefits of Aduhelm are small, its effectiveness is not certain, and even the FDA Thursday shifted its guidance on who should get the drug. But physicians are dealing with an onslaught of interest from patients and their families, and figuring out which patients are best positioned to be helped by the drug will be difficult.

Paying Billions for Controversial Alzheimer’s Drug? How About Funding This Instead?

Aduhelm, approved by the Food and Drug Administration last month despite questions about its efficacy, could be prescribed to at least 1 million patients a year, for a price tag of about $56 billion. Experts suggest there might be better ways to spend that money.

KHN’s ‘What the Health?’: Un-Trumping the ACA

The Biden administration is moving to undo many of the changes the Trump administration made to the enrollment process for the Affordable Care Act to encourage more people to sign up for health insurance. Meanwhile, Congress is opening investigations into the controversial approval by the Food and Drug Administration of an expensive drug that might (or might not) slow the progression of Alzheimer’s disease. Joanne Kenen of Politico, Kimberly Leonard of Insider and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Marshall Allen of ProPublica about his new book, “Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win.”

Desperate for Home Care, Seniors Often Wait Months With Workers in Short Supply

The covid pandemic and President Joe Biden’s agenda — a planned $400 billion infusion of support — have focused national attention on the need to expand home- and community-based long-term care services designed to keep people out of nursing homes. But the need far outpaces the staffing.

The Hard Realities of a ‘No Jab, No Job’ Mandate for Health Care Workers

Despite a hearts-and-minds campaign and millions spent in incentives, managers struggle to get staffs vaccinated against covid. Some workers have threatened to quit over the pressure to get a shot, which employers can’t afford.

Unvaccinated, Homebound and Now Hospitalized With Covid in New York City

Across the country, doctors report that those hospitalized with covid now are largely unvaccinated. New York City lags the rest of the nation in vaccinating people 65 and older, and its efforts to reach the homebound and disabled have been late in coming and disorganized.

KHN’s ‘What the Health?’: Our 200th Episode!

The federal approval of a controversial drug to treat Alzheimer’s disease has reignited the debate over drug prices and the way the Food and Drug Administration makes decisions. Meanwhile, President Joe Biden seeks to gain goodwill overseas as he announces the U.S. will provide 500 million doses of covid vaccine to international health efforts. Sarah Karlin-Smith of the Pink Sheet, Margot Sanger-Katz of The New York Times and Joanne Kenen of Politico join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Chiquita Brooks-LaSure, the new administrator of the Centers for Medicare & Medicaid Services. And to mark the podcast’s 200th episode, the panelists discuss what has surprised them most and least over the past four years.

Zooming Into the Statehouse: Nursing Home Residents Use New Digital Skills to Push for Changes

Connecticut residents who learned how to communicate with family and friends through digital technology when their nursing homes closed to visitors last year used that skill to testify remotely during legislative hearings on bills affecting them.

Expanding Insurance Coverage Is Top Priority for New Medicare-Medicaid Chief

Chiquita Brooks-LaSure, the new head of the Centers for Medicare & Medicaid Services, said the administration will focus on getting more people insured and is interested in finding a way to alleviate the gap keeping low-income families in states that haven’t expanded Medicaid from enrolling in Affordable Care Act health plans.

Is Your Living Room the Future of Hospital Care?

In the latest sign that in-home acute care is catching on, two big players — Kaiser Permanente and the Mayo Clinic — announced plans to collectively invest $100 million into the company Medically Home to help scale up their programs.

Tips for Older Adults to Regain Their Game After Being Cooped Up for More Than a Year

Experts offer advice on how seniors struggling with physical, emotional and cognitive challenges following a year of being cooped up can address issues such as muscle weakness, poor nutrition, disrupted sleep, anxiety and social isolation.

Aiding Her Dying Husband, a Geriatrician Learns the Emotional and Physical Toll of Caregiving

When the covid pandemic hit, Dr. Rebecca Elon was thrust into a new role, primary caregiver for her severely ill husband and her elderly mother. “Reading about caregiving of this kind was one thing. Experiencing it was entirely different,” she says.

Biden Boasts About Equitable Senior Vaccination Rate by Race Without Data to Back It Up

There is no public national data source that tracks vaccination rates based on a combination of race or ethnicity as well as age. Most state-level data shows that disparities exist in vaccine rates between white people and people of color.