Optimizing Late-Life Care and Spending

  • August 21, 2020
  • 1:00 PM – 2:00 PM ET
  • Online

The needs of U.S. seniors in the last several years of life are poorly met. This period of life can be incredibly stressful and costly: Average annual spending in the last year of life is $82,000, driven by aggressive care (that may not be wanted) and use of long-term services and support. The ever-increasing sense of dissatisfaction with care delivery intersects a rapidly growing population of adults over the age of 65.

In pursuit of redesigning late-life care delivery to better address patient preferences, researchers at the Stanford Clinical Excellence Research Center have studied and prioritized three care delivery innovations that can be implemented by Medicare Advantage plans within the scope of recently expanded supplemental benefits, and offer substantial annual savings.

Attendees will explore:

  • Three of the greatest challenges in meeting the needs of older adults — social isolation, functional decline and misaligned care
  • The impact of these challenges — cost and dissatisfaction
  • Three care delivery innovations that serve as a redesigned and realigned late-life care model


Connie Ducaine, PhD, LPC, LCADC
Senior Vice President of Strategic Solutions
Vital Decisions

Dr. Connie Ducaine is the Senior Vice President of Strategic Solutions at Vital Decisions and started her career with the organization 8 years ago working directly with health plan members who were approaching end of life. Through her clinical work, Dr. Ducaine has witnessed the benefits of advance care planning and patient engagement. As a licensed professional counselor, Dr. Ducaine continues to support individuals who are coping with various mental health issues. Dr. Ducaine is recognized as a visionary leader and trusted advisor with long-term executive relationships focused on providing support and programming for counselor educators and supervisors in the state.

Francesca Rinaldo, MD, PhD
Physician-Scientist and Surgical Resident
Stanford University School of Medicine

Dr. Francesca Rinaldo is a physician-scientist and surgical resident at Stanford University. She completed a BA in Public Policy Studies at the University of Chicago and an MD, PhD dual-degree at the University of Louisville School of Medicine, where she graduated Magna Cum Laude. In 2017-2018, she also completed the Healthcare Design Fellowship at the Stanford Clinical Excellence Research Center (CERC). As a design fellow, Francesca and her team used healthcare delivery innovation methodology to design a care delivery model for the “Late Life” population, with a focus on improving the quality and cost of care for the vulnerable, frail elderly. Upon completing the fellowship, she remained at CERC as an Associate Director for the Healthcare Design Fellowship and served as a Clinical Lead for the Stanford CERC Partnership for AI-assisted Care (PAC). At PAC, she co-led a team of computer scientists and clinicians in a study examining the application of computer vision deep-learning algorithms to detect patterns of mobility in critically ill patients, and how these patterns drive post-ICU clinical outcomes. This work was published in Nature Digital Medicine in March of 2019. Her clinical interests are in surgical critical care, end-of-life care, and the impact of loneliness, social isolation and other key social determinants on the health of the rapidly aging global population. She is passionate about exploring applications of computer vision and artificial intelligence for improving the quality and cost of healthcare.

Myra Altman, PhD
Affiliated Scholar, Stanford Clinical Excellence Research Center
Stanford University School of Medicine 

Dr. Myra Altman is a Licensed Clinical Psychologist and the VP of Clinical Care at Modern Health. She has spent a decade providing evidence-based care for anxiety, depression, health psychology, and personal health & well-being, and is passionate about how to ensure these approaches are scaled across populations.

Myra received her Ph.D. in Clinical Psychology from Washington University in St. Louis where her research focused on the prevention and treatment of childhood obesity. She also completed a fellowship in value-based healthcare at Stanford Clinical Excellence Research Center where she focused on understanding how best to improve the quality of care while ensuring sustainable costs for the late-life population.

She brings all of these perspectives to Modern Health, where her team oversees the quality of the coaching and therapy network, digital content and tools, as well as research and outcomes.

Kendall Cannon, MD
Affiliated Scholar, Stanford Clinical Excellence Research Center
Clinical Assistant Professor, Medicine – Primary Care and Population Health
Stanford University School of Medicine