202 episodes

A geriatrics and palliative care podcast for every health care professional.

We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith.

GeriPal Alex Smith, Eric Widera

    • Health & Fitness
    • 4.8 • 198 Ratings

A geriatrics and palliative care podcast for every health care professional.

We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith.

    Medicare Advantage and the "Medicare Money Machine": Guests Dr. Don Berwick & Dr. Rick Gilfillan

    Medicare Advantage and the "Medicare Money Machine": Guests Dr. Don Berwick & Dr. Rick Gilfillan

    Investor money and venture capital funding is pouring into Medicare Advantage (MA) plans. Enrollment in MA plans has more than doubled from 12 million members in 2011 to 26 million in 2021. What does this mean for us and our patients? Do these plans deliver better care for vulnerable older adults? Or are they a money making machine driving up healthcare costs in the name of profit? 
    On today’s podcast, we are joined by UCSF geriatrics fellow Alex Kazberouk to talk with Dr. Don Berwick (founder of the Institute for Healthcare Improvement, former administrator of Center for Medicare and Medicaid Services) and Dr. Richard Gilfillan (former CEO of Geisinger Health Plan and Director of the Center for Medicare and Medicaid Innovation). Their recent two part post on the Health Affairs Blog about the Medicare “Money Machine” has stirred up a debate about challenges and misaligned incentives within Medicare Advantage.
    We talk about:
    What Medicare Advantage is all about - its history, operations, potential benefits, and what it means for us and our patients Rick and Don’s Health Affairs post on the downsides of MA plans and the Medicare “Money Machine” Policy solutions to improve the system without throwing the baby out with the bathwater We also touch upon prior podcast topics such as the area deprivation index and population health. As a special, Alex plays a superb rendition of this song which is definitely not a Rickroll.
    This is part one of a two part series on Medicare Advantage and healthcare financing. We have a follow-up with Claire Ankuda and Cheryl Philips on Special Needs Plans and the Medicare Advantage Hospice Carve-In coming soon.

    • 47 min
    Amyotrophic lateral sclerosis (ALS) - What every Geriatrician and Palliative Care Clinician Should Know

    Amyotrophic lateral sclerosis (ALS) - What every Geriatrician and Palliative Care Clinician Should Know

    We’ve invited Elizabeth Lindenberger and Kara Bischoff to talk about what every geriatrician and palliative care clinician should know about ALS. Topics include: prognosis in ALS, disease modifying therapies (and when/if to discontinue, advance care planning in ALS, the role of embedding geriatrics/palliative care in ALS clinics, interventions in ALS (noninvasive ventilation, PEG tubes, and trachs), and symptom management as the disease progress.

    • 49 min
    Celebrating GeriPal's 200th with Leaders in Geriatrics and Pallaitive Care

    Celebrating GeriPal's 200th with Leaders in Geriatrics and Pallaitive Care

    It’s GeriPal’s 200th episode! Yup, we started the podcast in 2016 and over the years we have grown from basically podcasting for Alex’s mom to now getting over 25,000 plays per month. So to celebrate our 200th, and given that the last two years kinda sucked in a lot of ways, we are going to pivot to appreciative inquiry. We have invited leaders in geriatrics and palliative care to quickly share what they are grateful for in Geriatrics and Palliative Care and One thing they are hopeful for in 2022.

    • 50 min
    Geriatric Oncology: Podcast with Melisa Wong and Louise Walter

    Geriatric Oncology: Podcast with Melisa Wong and Louise Walter

    Geriatric Oncology has arrived. Yes, Louise Walter has been leading the fight to improve cancer screening in older adults for years. But when it came to geriatricizing the way we assess and treat older adults with cancer, the evidence was thin. In our prior podcast with Supriya Mohile and William Dale on geriatric assessment in oncology, we couldn’t say for certain if a geriatric assessment was helpful for patients with cancer. Well now we can.

    • 44 min
    Geriatric Anesthesia: Podcast with Mark Neuman, Liz Whitlock, and Cindy Hsu

    Geriatric Anesthesia: Podcast with Mark Neuman, Liz Whitlock, and Cindy Hsu

    When older adults experience a hip fracture, there’s a growing consensus that spinal anesthesia offers superior outcomes compared to general anesthesia. It’s surprising therefore, to talk with Mark Neuman about the results of his randomized trial in NEJM, which finds essentially no difference between general anesthesia and spinal.

    • 41 min
    Burnout and Resiliency: A Podcast with Janet Bull and Arif Kamal

    Burnout and Resiliency: A Podcast with Janet Bull and Arif Kamal

    In today’s podcast, we talk with Janet Bull and Arif Kamal about what we can do to address burnout and increase resiliency, both from an institutional and individual perspective. Janet Bull is the Chief Medical Officer and Chief Innovations officer at Four Seasons Hospice and Arif Kamal is an oncologist, palliative care doctor and researcher at Duke.

    • 43 min

Customer Reviews

4.8 out of 5
198 Ratings

198 Ratings

mrh2276 ,

Best in the biz

Insightful questions and fantastic guests! This is how I stay up-to-date on advances (and controversy) in palliative care. Thanks guys!

MarySTwo ,

Every geriatric social worker should listen!

This podcast makes otherwise inaccessible (because it is published in journals most of us don’t subscribe to), but valuable information understandable, useful, and fun! I look forward to every new episode. Highly recommend for anyone working with older adults.

Nifermorg ,

Thank you

I’m a nurse (PhD student with interest in EOLC). I learn so much from your show.

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