PARC

After a stroke, nearly 80% of individuals live with a degree of chronic functional impairment. Advances in acute stroke treatment have resulted in a significant decline in mortality, with more people requiring post-acute rehabilitation after surviving a stroke. Indeed, individuals with stroke are among some of the highest, most costly users of post-acute care. The incidence of stroke and its associated costs is projected to surge as the population ages, creating an urgent need to maximize care transitions.

Households born between 1945 to 1964 ("Baby Boomers’’) own a larger fraction of the housing stock at any given age than any of the generations before or after them, driven by home ownership patterns following the Great Financial Crisis and overall housing returns. In an overlapping-generations model, this does not necessarily displace younger cohorts from the housing market as they eventually inherit the housing wealth. However, baby boomers also live longer, raising the age at which younger cohorts receive the wealth.

In 2023, over half of Medicare beneficiaries were enrolled in Medicare Advantage (MA), costing the federal government over $350M in payments to MA plans. Passing the 50% threshold has put a spotlight on potentially  excessive payments to these MA plans. However, these concerns are not a new phenomenon. The Affordable Care Act (ACA) made major changes to MA payments in response to growing concerns about the overpayment of MA plans. The first major change was benchmark changes that cut base payments.

This proposal is for the completion of a book intended to be published as part of the Cambridge University Press Elements Series.

Behavioral-variant frontotemporal degeneration (bvFTD) is a progressive neurodegenerative disease that involves impairments in emotional regulation, personality, and executive function and is characterized by substantial heterogeneity in rate of clinical progression. Neighborhood deprivation is associated with lower resilience to neurodegenerative disease and accelerated epigenetic aging but this has not been investigated in bvFTD.

Conceptualized as a dynamic process of individual health protective mechanism, disaster preparedness is defined as individual behavior changes in this study, from “not prepared” (NP) stage to “having an intention to prepare” (IP) stage, and ultimately to “already prepared” (AP) stage. Although older adults are much more vulnerable to the health effects of disasters than their middle age and young adult counterparts, the extent to which behavioral transitions from one stage to another differ across the two groups has not been explored.

Alcohol use disorder (AUD) is one of the most pronounced public health concerns in the U.S. and cause an enormous burden to the society. In 2019, 14.5 million people of age 12 and older have AUD but only 7.2% of them had received treatment in the past year. Moreover, AUD may be correlated with cognitive decline and dementia could be a onerous burden to Individuals, family members, and the society. Both alcohol consumption and cognitive decline are often correlated to many unoberved factors such as genetics, personality traits, and risk perception therefore resulting in endogneity concerns.

Visual impairment is common in older adults and is associated with negative outcomes such as falls, depression, anxiety, and cognitive impairment. Because half of all vision loss in the U.S. is preventable or treatable, identifying the burden and consequences of age-related visual impairment can lead to interventions to promote access to eye care and improve population health. Administrative claims data (e.g.