New Managed Care Data Have Been Reported by Researchers at New York University (NYU) (“there Should Be a Nurse On Call”Complex Care Needs of Low-income Older Adults In Medicaid-supported Assisted Living): Managed Care

2025 MAY 01 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Research findings on Managed Care are discussed in a new report. According to news reporting originating in New York City, New York, by NewsRx journalists, research stated, “In the United States, nearly 1 million older adults reside in assisted living facilities, which aim to provide support for safe, autonomous living. However, low-income residents, especially those in Medicaid-supported facilities, experience unmet medical and social complex care needs and limited serious illness communication due to limited resources.”

Funders for this research include National Institute on Aging (NIA)of the National Institutes of Health, NIA Imbedded Pragmatic Alzheimer’s and AD-Related Dementias Clinical Trials Collaboratory (NIA IMPACT Collaboratory), NIH National Institute on Aging (NIA), Research Education Component Scholar Program of the NYU Alzheimer’s Disease Research Center, National Palliative Care Research Center, Kornfeld Scholar Program.

The news reporters obtained a quote from the research from New York University (NYU), “The objective of this study was to explore the complex care needs and serious illness communication challenges experienced by low-income older adults in Medicaid-supported assisted living. A qualitative secondary framework analysis was conducted on data from a parent qualitative study involving 17 residents aged 60 and older with serious illnesses at a Medicaid-supported facility in New York City. Residents completed the Edmonton Symptom Assessment Scale and participated in semistructured interviews. This study was guided by the National Consensus Project for Quality Palliative Care, focusing on the residents’ experiences, complex care needs, and communication within palliative care domains. Residents were predominantly Black and Hispanic, with nearly one-third having a history of homelessness or shelter use, and they experienced a high symptom burden. Four key themes emerged: (1) compromised quality of life; (2) high symptom burden and limited access to care, with residents reporting pain, fatigue, and emotional distress; (3) communication gaps while navigating health care, resulting in frustration and feelings of being unheard; and (4) fragmented care coordination, which exacerbated feelings of isolation and mistrust in the health care system. The findings reveal that Medicaid-supported assisted living residents encounter substantial challenges related to complex care needs and serious illness communication. There is an urgent need for community-based interventions to enhance care access, improve symptom management, and facilitate effective communication, ultimately supporting the residents’ quality of life and health outcomes.”

According to the news reporters, the research concluded: “Enhanced training for staff and policy changes are key to addressing these systemic barriers to care.”

This research has been peer-reviewed.

For more information on this research see: “there Should Be a Nurse On Call”Complex Care Needs of Low-income Older Adults In Medicaid-supported Assisted Living. Journal of Palliative Medicine, 2025. Journal of Palliative Medicine can be contacted at: Mary Ann Liebert, Inc, 140 Huguenot Street, 3RD Fl, New Rochelle, NY 10801, USA. (Mary Ann Liebert, Inc. - www.liebertpub.com; Journal of Palliative Medicine - http://www.liebertpub.com/overview/journal-of-palliative-medicine/41/)

Our news correspondents report that additional information may be obtained by contacting Komal Patel Murali, New York University (NYU), Rory Meyers College of Nursing, Hartford Institute for Geriatric Nursing, 433 1ST Ave, New York, NY 10010, United States. Additional authors for this research include Abraham A. Brody, Dena Schulman-Green, Daniel David and Rebecca K. F. Lassell.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1089/jpm.2024.0445. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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