How proton therapy helped my son with a childhood brain tumor

How proton therapy helped my son with a childhood brain tumor

My son Benjamin was born weighing only 3 pounds. He stayed in the NICU for 7 months. It was challenging and financially draining. We had a kindergartener and toddler at residence, although also viewing Benjamin at the hospital each individual working day. 

When Benjamin was capable to come household, he experienced a full parenteral nourishment (TPN) central line, an ostomy bag and a gastrostomy tube (G-tube) to get nourishment.  

By the time he was 1, he was in a position to try to eat and have the ostomy bag and G-tube taken out. Life was starting to sense usual.  

At 2 decades outdated, he jumped into a foam pit at a birthday occasion and arrived out keeping his head to the aspect. When I asked if he felt damage, he stated no. I waited a couple of times considering he had pulled a muscle in his neck. But the head tilt remained.  

When I took him to his pediatrician, they sent us to bodily therapy. Soon after two months, practically nothing had improved. We observed a neurologist who reported he seemed delighted and healthier with no other indicators other than a head tilt. The neurologist ordered an MRI to be protected, but I remember her telling me that she did not feel they would find everything.  

Right before we remaining the medical center parking whole lot, I gained a call saying the MRI final results were being in.  

A childhood mind tumor diagnosis 

That is when Benjamin was diagnosed with a sort of brain tumor named a Grade 1 pilocytic astrocytoma. His oncologist at our regional clinic advisable he start chemotherapy but prompt ready on radiation remedy to give his physique and mind time to develop so they could obtain the tumor greater. 

A number of months later on, tests showed the tumor had developed. His care workforce resolved to work. Benjamin experienced just turned 3 years outdated when he underwent brain surgical procedure. He then experienced two weeks of inpatient rehabilitation. This was tough on our spouse and children due to the fact we had two small ladies at home. 

Just after 6 decades of striving various forms of chemotherapy, together with two scientific trials, we have been ready to test radiation treatment. I understood the tumor was still escalating and Benjamin was obtaining signs or symptoms such as sleepiness and amplified face paralysis. So, we made a decision to just take a leap of religion, belief God and go to MD Anderson to have his tumor treated with proton beam treatment.  

Proton therapy is an sophisticated type of radiation cure that utilizes a beam of protons to produce radiation instantly to the tumor, destroying most cancers cells though sparing nutritious tissues.  As a final result, it minimizes facet consequences to protect against extended-phrase difficulties. Since of the bodily attributes of proton beams, it is ideal for pediatric most cancers patients with tumors found close to expanding tissues, particularly in the brain, backbone, eyes, ears or mouth. 

Perseverance via proton treatment treatment

In Sept. 2022, when Benjamin was 10 a long time previous, he began proton treatment at MD Anderson below the treatment of Dr. David Grosshans. He had a great practical experience at MD Anderson Proton Remedy Middle. Benjamin advised me it was the most straightforward cure he has been by way of. He bonded with his treatment team and loved using naps in the course of procedure. On Nov. 4, he celebrated his past cure by ringing the gong. 

All through remedies, he did not have side results. But following he concluded proton treatment, he experienced some numbness on the remaining facet of his entire body and weak point in his leg. He carries on to go to actual physical treatment and that assists boost his energy. 

Benjamin is performing effectively, and the tumor is stable. He is doing work tough to get caught up at faculty. Missing college for therapy influenced his studying the most. 

My suggestions to other moms and dads is to carry a reserve and a snack to remedy. Preserve a watchful eye on the affected individual and most of all, bear in mind to acquire it a person day at a time. 

Request an appointment at MD Anderson on the internet or by calling 1-877-632-6789.

Festival of Hearts Dinner Gala raises $34,000 for medical equipment at BCH

Festival of Hearts Dinner Gala raises ,000 for medical equipment at BCH


Fry Healthcare Foundation officers reported they are thrilled with the incredible achievement of the modern Competition of Hearts Dinner Gala. Many thanks to the overwhelming support of the local community, the occasion elevated a full of $34,000 to help vital health care products in the Emergency Section and the freshly expanded professional medical/surgical ground rooms at Boundary Local community Hospital, foundation officials stated.

Basis officials explained they needed to extend their gratitude to all the event’s contributors, including the sponsors: Fousts Inc., Elk Mountain Farms, Edward Jones, Lifetime Flight Network, Kootenai River Inn Casino & Spa,Columbia Bank, Gardiner Key Angus Ranch, Houck Farms, North Idaho Collision Repair service Middle, Auburn C rest Hospice, Sugar Plum Floral, Riverside Car Heart, Far-North Enterprise and Black Ridge Resort.

Their generous dedication to the community’s well being and well-being is deeply appreciated. Basis officers also thanked the community for their steadfast determination to supporting the foundation’s mission to enhance the community’s overall health and very well-getting as well as constantly supporting the hospital’s initiatives to improve care and entry to care for the citizens. Lately, local corporations have performed a essential part in the hospital’s obtain of a new surgical desk for the operation office and the addition of a new procedural care clinic, amongst other superb improvements. The community’s aid has been instrumental in the hospital’s ability to alter to the expanding community’s requires with no sacrificing other solutions furnished.

The leading health and fitness issue impacting the Boundary County is cardiovascular sickness. Boundary Local community Hospital has expanded its clinical/surgical flooring, brought on new clinical suppliers and expanded its Cardiopulmonary Department’s capabilities to handle this issue. The healthcare facility now presents finish echocardiograms, pressure tests, comprehensive pulmonary purpose checks, and has the same diagnostic imaging capabilities as our regional services offer you. Many thanks to the good results of the Pageant of Hearts, BCH changed its present defibrillators for the Unexpected emergency Department, meeting a vital need as nicely as the capacity to order new cardiac displays for the just lately expanded health-related/surgical ground.

BCH would like to thank the Fry Health care Foundation board customers, for their tireless attempts and for earning a meaningful distinction in the lives of individuals they both of those serve.

If you would like a lot more data to get concerned in the Fry Health care Foundation remember to get to out to Danielle Larsson, neighborhood relations and marketing director at Danielle.l@bcch.org or 208-267-6912.

How online teaching can promote empathy and student success (opinion)

How online teaching can promote empathy and student success (opinion)

A obtaining from a report that I and a co-author performed on unexpected emergency remote instruction at Stanford University through the very first two several years of COVID-19 in the beginning stunned us. Due to the fact the report’s publication final October, however, we have given a dozen or so interviews and displays sharing that getting, and the responses have confident us that anything specific took place not just at Stanford but also at quite a few other faculties and universities.

The locating is this: regardless of on-line education’s track record for becoming impersonal, the distant training successes that emerged at Stanford through the pandemic could enable lay the groundwork for a new emphasis on empathy as a driver of educational good results, such as how most effective to integrate student voices into programs. Good interactions in between college students and instructors engage in a big position in understanding, and pupil very well-currently being is what allows pupils to display up in classrooms ready to study and engage. For that reason, instructors who empathize with their pupils and are able to cultivate thoughts of belongingness in the classroom will see that their learners are additional effective learners.

The latest reviews from our friends at Bowdoin Faculty, Harvard University and the Massachusetts Institute of Technological know-how have achieved similar conclusions. They have all highlighted how the initial problems in deploying on-line equipment led immediately to an consciousness of the require for additional pupil-centered pedagogical tactics.

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Surely, crisis distant training proved demanding for faculties and universities. Our report at Stanford notes that we experienced an uptick in educational integrity violations. MIT’s research observes how isolating virtual studying environments were, Bowdoin’s identifies college student participation issues like monitor tiredness and “chaotic dwelling environments,” and Harvard’s signals how substantially college have necessary to rethink classic ways to teaching. As the reviews completely depth, those people difficulties to studying were accompanied by particularly severe impacts on lower-revenue and underrepresented minority students, a spike in pupil strain and mental health difficulties, and university student frustrations and issues over concurrent globe activities like Black Life Make any difference and the 2020 presidential election.

Continue to, all the reports suggest that the common perception that unexpected emergency distant training was a failure is, at very best, just one-sided. They concur that there is no likely back again to the pre-pandemic campus-sure learning working experience. In fact, alongside one another, the experiences level to a few strategies that faculties and universities can embrace a new chapter in better training: one that redefines the interactions that establishments and college users have with their learners.

Listen to what students want, but acquire it with a grain of salt. Whilst students have viewpoints for and from on the internet understanding and its efficacy, the proof suggests that most want it to adhere close to because of the ease it affords. For occasion, college students at Stanford and MIT say they relished the elevated flexibility for the duration of the interval of unexpected emergency remote instruction, like the potential to show up at on the internet place of work several hours and check out recorded lectures online when they had to skip class because of to disease. Some Stanford students are even petitioning their professors for the privilege.

That mentioned, digital accessibility to mastering elements by itself doesn’t essentially equate to enhanced mastering results. For occasion, the latest literature implies that though pupils say they want recorded lectures, they tend not to observe them. Instructors almost never give tips on how to use them proficiently, and students could be additional very likely to disengage and multitask though looking at them, which can further hinder discovering. Recorded information can increase comprehension, but only when effectively scaffolded and only when learners see it as a supplement to—not a substitute for—synchronous instruction.

In other terms: just since pupils like specific facets of on the net teaching does not suggest they are best for their learning. College students require techniques that obstacle them to the right degree in buy to improve mastering, a strategy University of California, Los Angeles, psychology professors Robert and Elizabeth Bjork simply call “appealing troubles.” We know a great deal about what students appreciate (or do not) about on the internet finding out, but not a total lot about the facets of on the internet finding out that greatest help pupil discovering results. Establishments that place body weight on the latter, rather than the former, might have extra good results.

The meteoric use of ChatGPT by school in school rooms (and by learners on their assessments) is just a person illustration of technological progress in AI that could possibly support or hinder pupil understanding, depending on the method of shipping and delivery. A recent poll of Stanford learners exposed that 17 percent used the resource on their slide quarter 2022 final tests. Institutions this kind of as the University of California, Santa Cruz the University of Pennsylvania and the College of Massachusetts are by now crowdsourcing new evaluation techniques for AI generative resources, acknowledging the need to have for technology literacy and deciding how latest training strategies can be adjusted to account for their responsible use whilst marketing class studying results.

Build a society of empathy in instructing and learning. The pandemic underscored that educational group setting up does not occur the natural way in online environments. It has to be intentional. During crisis distant instructing, instructors could no extended think that informal social spaces this sort of as the time top up to the commence and quickly pursuing an in-particular person lecture, when college students customarily method instructors and a single another with concerns, are adequate to develop local community. College student relationships with school transformed, way too, as prospects for networking and cultivating relationships had been shed.

Individuals incredibly significant worries to scholar effectively-currently being demanded considerate methods. Lacking in-individual chances for engagement, students turned to digital classroom communities for help. Although individuals attempts did not usually prevail over the reduction of face-to-face connection, they delivered learners with a new and usually thriving way to communicate with their professors. The Bowdoin report notes that in the course of the to start with wave of the pandemic, 58 percent of pupils mentioned they relied on digital workplace hours, with 95 percent reporting “being glad or quite contented with this source.” Furthermore, at Harvard, 82 percent of college are taking into consideration “adding instruments and techniques from remote educating to their in-individual lessons,” suggesting that digital resources are listed here to stay.

The four reviews on the period of crisis remote educating highlight empathic training, which includes producing a feeling of shared relationship and knowledge amongst pupils and school, as a single solution to addressing these troubles. At MIT, people instructors who have been equipped to create a culture of “community, properly-being and belonging” in their virtual classrooms noticed enhanced academic outcomes.

For occasion, the MIT physics section piloted a peer mentoring method in tumble 2020 for college students enrolled in an introductory physics class who struggled on their initially midterm in hopes of improving upon “the self-efficacy and STEM identity of these learners, which is to say their nicely-being and feeling of belonging.” The plan offers tutorial assistance in addition to developing community inside the physics division, “in which the university student mentors are associates with college and staff members in the (academic) mission of the section.” Owing to its success, MIT has now expanded the system to 5 courses.

On top of that, at Stanford, the college delivered education and assets for instructors on cultivating inclusive finding out environments in their classes by means of resurrection of its (then) defunct Training Commons, a faculty-facing on line instructing and learning repository devoted to delivering curated information, including instructing guides, articles (like how-tos, functions and instructor interviews), as perfectly as antiracist pedagogies to aid empathic teaching techniques.

As the pandemic improved the psychological pressure on a era of school college students who were being now reporting file ranges of depression, anxiety and stress, the experience with emergency distant schooling drove property how increased instruction institutions will have to give a lot more aid for their learners. College student mental health and fitness is an unexpected emergency, and instructors, no matter whether they want to be or not, are 1st responders. School associates can perform a essential job as empathic listeners by presenting standard check out-ins, referring pupils to institutional psychological health products and services when suitable and becoming aware of the psychological toll on-line discovering may perhaps be getting on pupils.

At Stanford, for instance, versatile psychological wellbeing services—such as digital remedy and coaching appointments and very well-staying coaches who leverage empathic counseling to support pupil mental health—provide clinical and holistic scaffolding outside of the classroom.

The MIT report notes that instructors can enrich empathy in virtual lecture rooms in a number of easy means. For occasion, instructors can look at utilizing “start of class welcoming procedures,” which include 5-moment scholar test-ins that request pupils to describe them selves with “a slide or a 1-moment video clip, allowing them to be creative in deciding on and outlining photographs with metaphorical or particular importance.” The report highlights that this “creates a area and time where by college students can share their struggles and joys [and] contributes to their effectively-being and belonging.” Learners who experience protected in the classroom are extra likely to engage in innovative issue-resolving and dialogue.

Invite learners to be co-designers of understanding. Through crisis remote instruction, pupils have been empowered to consider handle of their individual discovering in a way that they weren’t beforehand. At Bowdoin and Stanford, the pandemic facilitated the rise of teaching support constructions that engaged learners in new roles as educational technologists and training course co-designers. That transpired to start with out of necessity, due to a absence of instructors and designated studying designers to changeover programs from in-human being to on the web and afterwards due to the fact of students’ know-how in producing on-line communities. College couldn’t be just about everywhere at as soon as and/or they desired serious-time assist in designing breakout rooms, monitoring a Zoom chat or redesigning an evaluation. As a final result, students—some for the extremely very first time—were provided a glance at the rear of the tutorial curtain and provided an prospect to supply feedback on syllabus and study course design.

The Stanford Introductory Seminars system also developed a new function for college students in spring 2020 regarded as course progress assistants (CDAs), responsible for supporting college with system structure and implementation in modest, dialogue-based elective producing classes for to start with and 2nd-yr students. As opposed to training assistants, CDA roles are explicitly not permitted to get on obligations that would customarily be delegated to a TA, such as “grading, analyzing pupil operate or having the put of an absent teacher.” Instead of serving as matter make a difference experts, CDAs are educated to present back-conclude logistical, technological and pedagogical help for on the internet programs, serving to to boost equitable digital classroom environments and serving in an advocate function for pupils.

Online discovering illustrates the electric power of educating as a team sport, showcasing the collective energy of instructors and training assistants, study course designers, academic technologists, and students in crafting a significant understanding environment for their friends. The “sage” does not want to go away the phase somewhat, they need to be welcoming an ensemble cast.

And pupils say that their classes are improved for it. For occasion, university student electronic ambassadors who engage with college members on class design at Stanford report emotion a lot more connected to the program information, their instructors and their peers. They are also much more fired up about academe and educational know-how as achievable profession paths.

Pandemic remote educating, even though imperfect, was, frankly, a miraculous experiment. Educators became additional informed of the wants of their pupils and, normally running on the fly, did their finest to handle them. That perform is continuing, with a new push to identify what will ideal help students’ studying transferring ahead. How can we market empathy in all of our courses—online, hybrid and in particular person? We have now embarked on intentional on the web training and studying layout that normally takes into account the full of the college student knowledge.

OPM Expects Lots of Questions about Upcoming Postal-Only Health Plan

OPM Expects Lots of Questions about Upcoming Postal-Only Health Plan


1.7 million people today will have to transform their well being enrollment from an FEHB strategy to a PSHB system by January 2025. Image: Matt Gush/Shutterstock.com

OPM has explained that it “anticipates a significant spike in need for buyer-dealing with services” from Postal Company workers and retirees forward of their transfer effective in 2025 out of the FEHB and into what will be a new Postal Provider Health Gains Program.

“Fully 100{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of postal employees and annuitants – all 1.7 million folks – have to adjust their well being enrollment from an FEHB plan to a PSHB plan by January 2025. By contrast, a typical overall health added benefits open year usually success in just 5-6{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of enrollees creating a transform in enrollment – and that in just a program they currently have knowledge functioning within,” OPM reported in a budget doc

“Change is generally hard, and we hope many postal personnel and annuitants will need additional assistance and guidance to comprehend their possibilities and steps that need to be taken,” it mentioned in inquiring Congress for some $38 million for 2024 to continue on setting up that method, including virtually $10 million to establish up shopper aid potential.

That is to contain a new, contracted “customer assistance center” that is to manage “enrollment changes made by phone or mail, verifying documentation proving eligibility of family members associates and enrollees, answering Postal enrollee thoughts relating to the PSHBP, and reconciling enrollment and premium discrepancies. It will also involve a connect with centre to offer 12 months-spherical, multi-lingual shopper services staff members to respond to inquiries and deliver enrollment assistance by cell phone, electronic mail, and live chat in the U.S. and internationally.”

OPM is expected to soon difficulty guidelines governing the system, which was requested by a Postal Services reform regulation enacted past yr and is to generally parallel the FEHB. OPM is to agreement with insurers to offer options, which would have to have to satisfy sure protection necessities typically, any insurance provider with a strategy possessing at minimum 1,500 USPS workforce or retirees enrolled as of the start off of this calendar year would be expected to offer you programs in the PSHB software.

A person significant change, will be that Medicare-qualified USPS foreseeable future annuitants and their Medicare-eligible coated family associates frequently will be needed to enroll in Medicare Element B (physicians and connected expert services) there would exceptions for all those already retired at the start off of 2025, existing workforce age 64 or more mature as of that position, and those VA or Indian Wellness Assistance coverage. Also, the postal populace will variety its very own top quality pool, with a at this time unknown effects on prices for them and for the relaxation of the latest FEHB inhabitants.

OPM additional: “If productively executed, the PSHBP will see strong participation by health and fitness ideas featuring ground breaking, inexpensive, higher-high quality rewards, accurate and economical enrollment and payment processing that generates discounts by cutting down premium payments for ineligible people and other enrollment discrepancies, and superior enrollee fulfillment with the overall health gains choice approach and their selected health plan.”

White Household Provides Aspects to Proposals on Gains, Pay Compression

OPM Expects Loads of Inquiries about Future Postal-Only Wellbeing Approach

Organizations Advised to Get started Location Up Cyber Staff Rotational System

Understaffing Taking a Toll on Workforce at VA, Study Reveals

Reviewers on Quite a few Sophisticated Promises Circumstances at VA Not Absolutely Skilled, States IG

Administration Will make Argument for Ongoing Significant Ranges of Telework

Funds Lists Planned Priorities for Federal Workforce

House Approves Monthly bill Barring ‘Censorship’ by Federal Staff members

See also,

The Present of Yearly Go away for Federal Workers

Comprehending the Federal Extended-Expression Care Insurance policy System

Comprehending FEDVIP: the Federal Staff members Dental and Vision Method

Knowledge the Federal Employees’ Group Lifetime Insurance policy Program

2023 GS Locality Spend Tables

2023 Federal Employees Handbook

Reaching New Heights: Annual Report 2022

Reaching New Heights: Annual Report 2022
Tom Bailey

A LETTER FROM THE PRESIDENT

The skyscraper — redefining preconceived boundaries like many of us — was commonly adopted by New York when its citizens termed for far more space. The town constructed just about 100 iron giants in fewer than 40 many years, and development in engineering and human tenacity made it all doable. That was a lot more than 130 a long time ago, and as our planet contends with the increasing problems of our time, Teachers University is also reaching new heights, just like the city’s skyscrapers, in our very long-held pursuit of productive remedies that establish greater equity for all.

2022 — our to start with calendar year back again at full capability on campus considering that the commence of Covid-19 — presented new peaks to surmount: climbing disparities in schooling, wellbeing, and mental wellness amid a shifting financial state resistance to more inclusive faculty curriculums the second-most mass shootings in U.S. record, just driving 2021 a rising mental wellness disaster and additional.

In response, our extended neighborhood has answered the get in touch with to action with a redoubled dedication to the scholarship and service that defines Instructors Higher education alone.

2022 was a banner calendar year for study at the Higher education, which earned 22{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of supplemental study funding, led progress at the countrywide amount, and expanded opportunities for collaboration with our colleagues at Columbia and Barnard.

Pursuing daring remedies also meant continuing our function in digital pedagogy and innovation to expand the boundaries of what’s attainable in school rooms at TC and outside of — and reimagining the preparation for professions like training in get to best place our students for the function ahead. We ongoing our perform to forge pathways that help student accomplishment — from acceptance by way of publish-graduation — with new developments like resources for scholar-dad and mom.

The University also ongoing to put into action new recruitment initiatives that yielded a single of the most varied college choosing many years in TC’s heritage, and launched its very first DEI Report to benchmark our continued efforts to bolster and broaden range, fairness and inclusion throughout our institutional applications and functions. Our faculty, learners and alumni are on the ground in neighborhoods across New York Town and all around the globe, doing the job with local leaders and associates to drive tangible progress throughout education, psychology and well being.

None of this would have been attainable with out our sturdy Academics Higher education group throughout the earth — our committed college, college students and alumni (all 94,000 of them), and our generous donors, partners, supporters and neighbors. As we appear again on 2022 with each other, I hope you will proceed to sign up for us in our aspirations to arrive at new heights, no make a difference the challenges forward.

Warmly,

Tom Bailey Signature

Thomas Bailey
President

Culling the health tech herd

Culling the health tech herd

The threat of economic cataclysm is in the air, following the failures of Silicon Valley and Signature banks.

For digital health companies, the growing sense of gloom follows a bleak 2022 during which venture capital investment in them fell by more than half, according to a report from industry analyst Pitchbook.

The biggest problem? Companies are under budget pressure and spending less on employee benefits.

Similarly, health systems are buying less technology as they continue to navigate financial challenges. Labor costs are up and patient volume is down, making operating margins tighter than ever, reports management consulting firm KaufmanHall.

“What a hospital or health system is willing to buy is a pretty narrow set of products,” said Rebecca Springer, who authored a report on the health tech market and is a senior health analyst at Pitchbook.

Growth opportunities: Limited opportunities to sell exist, Springer said.

Health systems continue to need software that can help administrative staff find and resolve unpaid bills. They also need technology to assist with hiring, contract staff and retiring workers.

Meanwhile, investment in digital therapeutics and technologies designed to treat chronic conditions like pain and diabetes, as well as behavioral health issues, remains resilient.

Long view: Venture capitalists will likely invest in products with a clear path to profitability that health systems and insurers need.

“This is part of the broader dynamic that we’re seeing in venture where there’s less of a risk appetite, valuations are coming down, and we’re not going to have these very lucrative public exits,” said Springer.

She added that consolidation is coming. Companies with useful, albeit niche, products will likely be subsumed into bigger players. But those that can’t compete may be doomed to fail.

This is where we explore the ideas and innovators shaping health care.

Cold water swimmer Adam Boggon, a doctor from England, examined enthusiasts’ belief that donning a wetsuit and swimming in partially frozen lakes can help combat depression in a recent piece for Harvard Public Health.

His take: It may, but probably because it brings people together for fun and exercise. If you try it, start slow, he writes, and consider risks like cold shock and heart arrythmia.

Share any thoughts, news, tips and feedback with Ben Leonard at [email protected], Ruth Reader at [email protected], Carmen Paun at [email protected] or Erin Schumaker at [email protected].

Send tips securely through SecureDrop, Signal, Telegram or WhatsApp.

Today on our Pulse Check podcast, host Megan Messerly talks with Katherine Ellen Foley about the Veterans Health Administration’s announcement that it will cover Leqembi, a new Alzheimer’s drug that appears to slow the disease’s progression, and why the VHA’s decision differs from other federal agencies.

Combine Covid’s toll on nursing home residents with most people’s preference for living at home as long as possible as they age, and it’s no wonder that at-home care is growing.

Most recently, it expanded at a 2.5 percent clip in 2021, according to a Medicare Payment Advisory Commission analysis of data from the Centers for Medicare and Medicaid Services.

But the commission, MedPAC, says the growth is not good for Medicare’s budget because the government pays providers too much for their services.

The commissioners, mainly medical school professors and health system executives, said Congress could save $10 billion over five years without affecting access to care by ordering a 7 percent cut in reimbursements.

“Medicare’s payments for home health services are too high, and the excess payments diminish the service’s value as a substitute for more costly services,” the commission said in a report to Congress it released Wednesday.

Industry shudders: MedPAC’s proposal is sure to draw criticism from advocates for and providers of home-based care.

And it’s not clear how Congress will react. Lawmakers have backed the extension of at-home care waivers through the end of 2024. The waivers enable hospitals to treat some emergency department and inpatient patients in their homes instead.

ARPA-H is zeroing in on a Washington home.

The year-old Advanced Research Projects Agency for Health, created by Congress in 2021 to fund ambitious moonshot initiatives considered too risky by the private sector, plans a base of operations in Washington or its suburbs.

ARPA-H Director Renee Wegrzyn announced the decision at a Tuesday briefing, but did not reveal the specific location. She said the General Services Administration is currently helping the agency choose an office to lease.

ARPA-H plans to announce two additional locations later this year. In a December law, Congress ordered it to set up offices in at least three places around the country, specifying that none of them could be the campus of ARPA-H’s parent agency, the National Institutes of Health, in Bethesda, Md., just outside the capital.

“Anyone in the biomedical space can tell you you need to stay close to your regulators, to your payers, and many of those folks are in the national capital region,” said Wegrzyn.

Why it matters: Several cities and states have waged a fierce battle to host ARPA-H, which Congress created in a December 2021 law. The localities believe ARPA-H will bring jobs and revenue and bolster their companies and universities as the new agency sponsors research projects that aim to transform health care.

So far, the agency has hired 100 employees for its first location, including its first two program managers: Paul Sheehan, a former program manager at DARPA, the defense agency on which ARPA-H is based; and Ross Uhrich, a surgeon and former Navy lieutenant commander who most recently was an assistant professor at the Uniformed Services University of the Health Sciences.