GeriPal

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). And the way that these therapies are being investigated in clinical trials is very resource intensive and often not accessible for marginalized communities. Ethical issues , including colonization of psychedelics by big pharma.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

OCTOBER 24, 2024

And you could say the same thing about insurance companies. Insurance companies will pay for a lot of drugs that have really not a whole lot of evidence at a lot of costs. But to this day, I haven’t heard of an insurance company that’s willing to cover cannabis. Is that your feeling, too?

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Certainly my bias is that healthcare professionals really do have a role in this discussion. “Do you guys do this?” Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

JUNE 22, 2023

And then from that, through community activists, ACT UP, legislators who felt that there needed to be something done, doctors within CDCR who cared passionately about the HIV population and others, all came together and we were able to eventually get funding for this 17-bed inpatient hospice. It’s by choice, just like in the community.

Families 132

Families Family IT Community 132

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community. There’s obviously a lot of flaws in the healthcare system. A love letter kind of back to my community.

IT 107

IT Community Patients Families 107

GeriPal

MAY 15, 2025

For example, putting the healthy food at the back of the grocery store is sludge; making an applicant for health insurance climb the flight of stairs to the office – weeding out those less fit – is also sludge. Many were community hospitals. Prior-auth forms? Examples of nudges, some based in health care, others in coffee.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Bubbles Up is following Bubbles Up as the song will elucidate. How do you see the light? The reality is how do you pay for it right now?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 27, 2025

Janet 45:06 They’re probably coming to a location near you soon because the use of methamphetamine or the contamination of drugs out in the community is more widespread. Any new breakthroughs, updates on patients with stimulant use disorder and serious illness? Pearls tips? For any MOC questions, please email moc@ucsf.edu.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

AUGUST 8, 2024

And this seems very basic, but try it with your insurance agent or your pastor, you know, or your banker at 03:00 in the morning. You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died. And I’ve had since 1974 as the only funeral director in the town.

IT 124

IT Families Family Relationship 124

GeriPal

JUNE 5, 2025

And that came down a lot of times to asking the provider whether they felt they met criteria and then also looking to see if they had the financial, like the proper insurance or things like that. Connie 21:57 So the next step was generally trying to assess whether they were eligible for palliative care. And we have amazing attendance.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

AUGUST 1, 2024

Well, the irony is that this diethye resurrected from the poorest communities in the mediterranean region. But if your patient is not able to do those things, I wouldn’t say don’t have insurer. But the funny thing, and this is like a classic myth of the mediterranean diet, it’s like, it’s too expensive.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 21, 2023

You come over to the clinic, you go to the hospital, you provide service, and the insurance and you negotiate how much you’re going to get paid. Whereas with comprehensive dementia care, what you really need is a lot of the support that is delivered in the community. That never happens in CMS and other health insurance.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 6, 2024

So let’s use the one that I prefer to do, because I know this drug, that’s not how insurance companies work. The breast cancer community seems to have coalesced around hyaluronic acid formulations. It’s not that simple. You would think men have all these options and any of them are working.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115