Keren Ladin's guest appearances

Keren Ladin

NEJM Interviews

GeriPal

A Health Podyssey

Aaron Kesselheim

Melissa Wachterman

Sherry Glied

Amy Kind

Krista Harrison

Scott Halpern

Hilary Seligman

Ashish Jha

Julia Adler-Milstein

Gil Rabinovici

Ateev Mehrotra

Christine Ritchie

Linda Fried

Stacie Dusetzina

Leemore Dafny

OwlTail

Join Health Affairs Insider.Advance care planning is a term used to describe when a person prepares for future management of serious or terminal illness, including developing an advance care directive or what is sometimes is called a living will.Beginning in January of 2016, Medicare made it possible for certain clinicians to bill for their work for patients to develop advance care plans.Despite the new billing option, uptake has been quite slow.In health care, we often use financial incentives to motivate behavior change. You might have expected that simply creating a payment option for advance care planning would make it happen.Keren Ladin from Tufts University joins Health Affairs Editor-in-Chief Alan Weil on A Health Podyssey to discuss the reasons Medicare's payment policy has not led to the greater pursuit of advance care planning.Ladin and coauthors published a paper in the January 2022 issue of Health Affairs examining the limited use of advance care planning billing codes among clinicians. Their qualitative study revealed a number of potential explanations for low use that can help us  understand why a seemingly simple payment change doesn't automatically yield a desired result.Barriers to use of the advance care planning billing codes include institutional practices, concerns about the effects on patients and more.If you enjoy this interview, order the January 2022 Health Affairs issue.Pre-order the February 2022 Racism and Health issue.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

<a href="https://www.healthaffairs.org/membership?utm_medium=podcast&amp;utm_source=insider" rel="nofollow" target="_blank">Join Health Affairs Insider</a>.Advance care planning is a term used to describe when a person prepares for future management of serious or terminal illness, including developing an advance care directive or what is sometimes is called a living will. Beginning in January of 2016, Medicare made it possible for certain clinicians to bill for their work for patients to develop advance care plans. Despite the new billing option, uptake has been quite slow. In health care, we often use financial incentives to motivate behavior change. You might have expected that simply creating a payment option for advance care planning would make it happen. Keren Ladin from <a href="https://www.tufts.edu/" rel="nofollow" target="_blank">Tufts University</a> joins Health Affairs Editor-in-Chief Alan Weil on A Health Podyssey to discuss the reasons Medicare's payment policy has not led to the greater pursuit of advance care planning. Ladin and coauthors published a paper in the January 2022 issue of Health Affairs <a href="https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2021.00848?utm_medium=podcast&amp;utm_source=health+podyssey&amp;utm_campaign=january2022issue&amp;utm_content=ladin" rel="nofollow" target="_blank">examining the limited use of advance care planning billing codes among clinicians</a>. Their qualitative study revealed a number of potential explanations for low use that can help us  understand why a seemingly simple payment change doesn't automatically yield a desired result. Barriers to use of the advance care planning billing codes include institutional practices, concerns about the effects on patients and more.<a href="https://www.pubservice.com/backissue/subbi.aspx?CO=PJ&amp;PC=HR&amp;BI=HRI&amp;utm_medium=podcast&amp;utm_source=podcast&amp;utm_content=ladin" rel="nofollow" target="_blank">If you enjoy this interview, order the January 2022 Health Affairs issue</a>.<a href="https://www.pubservice.com/backissue/subbi.aspx?CO=PJ&amp;PC=HR&amp;BI=HRI&amp;utm_medium=podcast&amp;utm_source=health+podyssey&amp;utm_campaign=february2022issue&amp;utm_content=ladin" rel="nofollow" target="_blank">Pre-order the February 2022 Racism and Health issue</a>.Subscribe: <a href="https://feeds.transistor.fm/a-health-podyssey" rel="nofollow" target="_blank">RSS</a> | <a href="https://podcasts.apple.com/us/podcast/a-health-podyssey/id1533852530" rel="nofollow" target="_blank">Apple Podcasts</a> | <a href="https://open.spotify.com/show/3tAEbXdlzlcgjLTHfJMYqR" rel="nofollow" target="_blank">Spotify</a> | <a href="https://www.stitcher.com/s?fid=576615&amp;refid=stpr" rel="nofollow" target="_blank">Stitcher</a> | <a href="https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy50cmFuc2lzdG9yLmZtL2EtaGVhbHRoLXBvZHlzc2V5" rel="nofollow" target="_blank">Google Podcasts</a>

Keren Ladin on Why Medicare's Advance Care Planning Payment Is A Work In Progress

How do patients come to the decision regarding whether or not to initiate dialysis? Well, that is the question that we talk about with Keren Ladin on this week's podcast. Keren is a social science researcher, bioethicist, and assistant professor in the department of Occupational Therapy at Tufts. What becomes clear when you look at Keren's research is the for many patients, there isn't a decision that is made.

How do patients decide whether or not to initiate dialysis? An Interview with Keren Ladin

Dr. Keren Ladin is the Director of the Lab for Research on Ethics, Aging, and Community Health and an Assistant Professor in the Departments of Occupational Therapy and Public Health and Community Medicine at Tufts University. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. K. Ladin and D.W. Hanto. Rationing Lung Transplants - Procedural Fairness in Allocation and Appeals. N Engl J Med 2013;369:599-601.

NEJM Interview: Dr. Keren Ladin on fairness in the allocation of lung transplants for children.