Where’s the Rest of Me? Integrating Acute and Long-Term Care —
Joshua M. Wiener, PhD, Distinguished Fellow and program director of RTI's Aging, Disability, and Long-Term Care program, is the author or editor of eight books and more than 100 articles on health care for older people, people with disabilities, long-term services and supports, Medicaid, health reform, health care rationing, and maternal and child health. Dr. Wiener is currently involved in studies of the Hawaiian long-term care system, the long-term care workforce, risk of institutionalization, long-term care awareness and planning, and Medicare and Medicaid dual eligibles. He is also co-director of the Administration on Aging–funded Alzheimer's Disease Supportive Services Program National Resource Center.
K. Eric De Jonge, MD, is Director of Geriatrics and cofounder of the Medical House Call Program at Washington Hospital Center. He is on the teaching faculty at Johns Hopkins University and Georgetown University. His main interest is in creating skilled and affordable care teams that help frail elders live with dignity at home. Since 2007, Dr. De Jonge helped develop and advocate for a Medicare reform bill, called Independence at Home (IAH), to advance home-based primary care, improve care for frail elders, and reduce total Medicare costs. IAH was included in the 2010 health reform bill and will be implemented in 2012. In 2003, Dr. De Jonge was named National House Call Physician of the Year by the American Academy of Home Care Physicians.
Barbara Gage, PhD, is a Fellow at the Brookings Institution with more than 20 years of experience conducting public policy research. Dr. Gage is a national expert in Medicare post-acute care policy issues, including bundled payments, episodes of care, and case-mix research. She has directed numerous studies analyzing the impact of Medicare post-acute payment policy changes, including the Congressionally mandated Medicare Post Acute Care Payment Reform Demonstration and the Development of the Standardized CARE Item Set. Dr. Gage’s research has included numerous studies of the relative use of post-acute care before and after the Balanced Budget Act; case-mix analysis of long-term care hospital, rehabilitation hospital, skilled nursing facility, home health, and outpatient therapy patients; and the development of items to monitor the impact of the Medicare payment systems on access and quality of care.
Peter Kemper, PhD, is the Deputy Assistant Secretary for Planning and Evaluation with the Department of Health and Human Services. An expert on long-term care services and supports, Dr. Kemper has led a number of studies on the cost of care for the elderly as well as on the lifetime risk of needing long-term care services and supports. His research on home care includes an evaluation of the Channeling demonstration, a large, randomized experiment that tested the effects of public financing of home care for the elderly. He also analyzed state options for the design of home care programs, case management in home care, and the effects of state Medicaid home care spending on the unmet need for personal care.
Carol Raphael, MPA, is a nationally recognized expert on health care policy and has served on numerous commissions including the Medicare Payment Advisory Commission, the New York State Hospital Review and Planning Council, and several Institute of Medicine committees. From 1989 to 2011, she served as the president and chief executive officer of the Visiting Nurse Service of New York (VNSNY), the largest nonprofit home health agency in the United States. Prior to joining VNSNY, Ms. Raphael held executive positions at Mt. Sinai Medical Center and in New York City government. Currently, she is an Advanced Leadership Fellow at Harvard University. She chairs the New York eHealth Collaborative, a public-private partnership working to advance the adoption of health information technology.
Edith G. Walsh, PhD, conducts health services research, building on 12 years of experience in administrative and clinical work serving Medicare and Medicaid beneficiaries. Dr. Walsh's methodological expertise includes survey development and analysis, analysis of administrative data, and the use of qualitative methods to evaluate program implementation and the impact of new and existing programs on a range of stakeholders. Dr. Walsh is a nationally recognized expert on Medicare/Medicaid dual eligibles, on managed care and long-term care delivery systems, on health and functional status measurement for persons with chronic conditions and disabilities, and on the use of such measures to risk-adjust payments to managed care plans or as control variables or case mix measures in other types of analysis. She has recently begun examining complementary and alternative therapies and their potential to improve functional status.