Brian McGarry

Assistant Professor, Division of Geriatrics and Aging @ur_med - Health services research on the economics of aging

[Brian McGarry @McGarryBE]

Send @cmommaerts and me your papers on long-term care and caregiving by 7/31/26 for consideration as part of the October @nberpubs meeting on this topic. Details here: https://t.co/sifo0iKtvx

[Southeastern Health Economics Study Group @SEHealthEcon]

For our third paper of the morning at #SHESG2024 Ljubica Ristovska (@lj_ristovska - LJ to her friends) presents work on the impact of prior authorization for drugs in Medicaid. (Hiring committees out there: LJ is on the market this year and this excellent work is her JMP.)

[NBER @nberpubs]

Nursing homes that mandated staff vaccination before state and federal mandates saved many residents' lives. Any effects on staff turnover and quality of care were small, from @ashdgandhi, Ian Larkin, @mcgarrybe, @katherinejwen, Huizi Yu, Sarah Berry, Vincent Mor, Maggie Syme, and Elizabeth White https://t.co/fg22mDYgyZ

[Global Observatory of Long-Term Care @GlobalObLTC]

EXCITING ANNOUNCEMENT 🎉
On Tues 29 Oct, we're hosting webinar sessions throughout the #InternationalDayofCareAndSupport, covering a range of #Care topics, w/ speakers incl @joselele, @DrShereeHussein, @StefaniaIlinca1, @McGarryBE + more!

REGISTER NOW: https://t.co/s9A9pMVKlx

[Rachel Prusynski, DPT, PhD @doc_doc_pru]

Another hefty #SkilledNursing workforce analysis out today @uwchws!

We looked at occupations *outside* of nursing and found some interesting variability in staffing levels and contractor staffing across the different job roles, based on specific SNF characteristics:

[Bianca Frogner, PhD @biancafrogner]

What do we know about speech language pathologists, pharmacists, PTs, OTs and more working in skilled nursing facilities? Not a ton even though many types of occupations are employed in SNFs as @doc_doc_pru unpacks in this @uwchws report!

@JoanneSpetz @DavidCGrabowski @McGarryBE

[Bianca Frogner, PhD @biancafrogner]

Been awhile since I've posted an update on employment trends from @BLS_gov. SNFs are hovering close to prepandemic levels. Hospitals' recent growth is on pace w rest of economy. And quite fast growth in home health! How does this track with folks on the ground?

[David Grabowski @DavidCGrabowski]

Nursing homes were greatly impacted by COVID-19 pandemic. Did we learn anything?
In new @Health_Affairs piece with Tamara Konetzka & @themoruknow, we argue nursing home residents & staff will remain at substantial risk unless we undertake systemic changes
https://t.co/8SdxYeYbYa

[David Grabowski @DavidCGrabowski]

Great to see this out in print... many of us said admitting COVID-positive patients to nursing homes early in the pandemic was bad policy, this paper confirms it.

[Courtney Van Houtven (she/her) @chvanhoutven]

Norma Coe will be sharing a paper about how the care team mix affects care recipient outcomes (joint w RT Konetzka me and @Basucally) and then I will talk about causal evidence of effects of family care as well as policies showing promise.

[Michael L. Barnett @ml_barnett]

New @JAMAInternalMed paper with @McGarryBE @ashdgandhi Jiamin Yin and Afroze Chughtai @HarvardHPM!

We explored if COVID+ hospital admissions to nursing homes early in the pandemic led to COVID outbreaks. Much discussed but never studied!

https://t.co/QYqCBFct8l

brief thread

[JAMA Internal Medicine @JAMAInternalMed]

Nursing homes accepting Covid-positive admissions experienced increased resident Covid-19 cases & deaths relative to facilities without. The associations were larger in facilities w/ personal protective equipment & potential staff shortages. https://t.co/0eoo7lXiiU @ml_barnett

[JAMA Health Forum @JAMAHealthForum]

Most viewed in the last 7 days from @JAMAHealthForum:

Between home-based and facility-based settings, what are the postacute care preferences of patients and caregivers?

https://t.co/c1zrFNOkrR

[David Grabowski @DavidCGrabowski]

NEW @JAMAHealthForum paper led by @FangliGeng. In a discrete choice experiment, we found patients were willing to pay an additional $58.08 per day for home health care compared with a shared skilled nursing facility room, while caregivers would pay $45.54 per day

[JAMA Health Forum @JAMAHealthForum]

Patients and caregivers strongly prefer high-quality, home-based post-acute care vs facility-based care. Targeted support for disadvantaged groups facing constraints is essential to ensure equitable access. https://t.co/zNeXyEgmfp @DavidCGrabowski

[Ashvin Gandhi @ashdgandhi]

One month later, and we made it into the text of the new minimum staffing rule!

[David Grabowski @DavidCGrabowski]

I spoke to @sam__fields @NPR @Marketplace about the new federal rule mandating staff levels in nursing homes. Although the rule is far from perfect, "This is the biggest reform in nursing home policy in decades.”
https://t.co/Ga6zPuhwNP

[David Grabowski @DavidCGrabowski]

NEW @JAMANetworkOpen paper led by @amanda_c_chen
What happened when star ratings were introduced for home health agencies? HHA-reported measures showed improvement but more objective measures did not, raising concern about use of HHA-reported measures https://t.co/UGAIMLvUwf

[Ashvin Gandhi @ashdgandhi]

🚨New @nberpubs with @andrewolenski on major hidden profits in the healthcare sector! Bear with me as I explain how nursing homes are able to hide almost 2/3 of their profits from regulators and the public! I promise it's worth it!

🧵1/17

Paper: https://t.co/15dMt2sBSp

[Adelina ComasHerrera @AdelinaCoHe]

Tomorrow @DavidCGrabowski will present at @GlobaObLTC webinar on COVID-19 Lessons for Care Home Regulatory Approaches, with a reflection of what we needs to learn from COVID & challenges for US Nursing Home reforms on:
👉Staff ratios
👉Financial/ownership transparency
👉Quality