A new analysis by ATI Advisory shows that more Medicare Advantage (MA) plans are offering Special Supplemental Benefits for the Chronically Ill (SSBCI) in 2022. Learn more about which plans are offering which benefits.
News on transforming care for older adults
Topics in: `Long-Term Care`
To advance MPA activities, the Center for Health Care Strategies seeks Letters of Intent for states to participate in a learning collaborative. The deadline for submission is Monday, January 31.
Through our partnerships with the Investigative Reporting Program at UC Berkeley and the Associated Press-NORC Center for Public Affairs Research (AP-NORC), reporters are sharing the experiences of older adults living in community. The following coverage rounded out 2021:
- An article in The Washington Post explained how family caregivers are using monitoring technology to keep older loved ones with cognitive decline safe. The piece looked at related issues of affordability, access, and quality of care as well as ethical questions about privacy.
- How are older adults dealing with ongoing COVID-19 isolation? A Travel + Leisure article recounted one retiree’s experiences and train travels. A Next Avenue piece shared how an intergenerational program in San Francisco expanded its purpose to support older and younger people during the pandemic.
- Polling explored people’s opinions of telehealth and The Associated Press unpacked how preferences vary based on age, race and ethnicity, education, and income.
Older adults can age well in their community of choice with proper supports and services. This can take the form of family, friends, neighbors, and even community centers where older adults can connect with people their own age. Watch as three older adults share their stories.
A Duke-Margolis Center for Health Policy brief highlights policy opportunities to advance home-based care for Medicare beneficiaries, and research explores leveraging payment reforms to support people with complex needs at home.
Finally, a report from the Convergence Center for Policy Resolution shares insights on transforming our long-term care system.
Since COVID-19 emerged, Americans have had a lot of time to think about what they want their life to be like, including what it means to age well and equitably. Watch three older adults who are thriving at home in community with the support of loved ones.
This work is one example of how our communication partners give voice to issues of aging and support enhanced storytelling. Learn more.
The COVID-19 pandemic has highlighted many inefficiencies in the nation’s long-term care (LTC) system. A recent Health Affairs blog looks at the impact of payment policies on nursing facilities. Another discusses state approaches for stabilizing the direct care work force through American Rescue Plan Act funds.
New research from Long-Term Quality Alliance (LTQA) and ATI Advisory offers insights and policy recommendations on Medicare Advantage (MA) nonmedical supplemental benefits. Learn about who is providing what services, and how the landscape has evolved.
- Progress report – Delivering on the Promise of the CHRONIC Care Act: Progress in Implementing Nonmedical Supplemental Benefits
- Policy brief – Delivering on the Promise of the CHRONIC Care Act: Policy Recommendations for the Biden Administration to Advance Nonmedical Supplemental Benefits
- Webinar recording – Delivering on the Promise of the CHRONIC Care Act: The Future of Medicare Advantage Supplemental Benefits
Our monthlong series explored aging and engaging with our health care and long-term care systems. We highlighted personal experiences of older Californians, consulted with experts, and captured visual summaries.
The Support and Services at Home (SASH) model meets people where they are, integrating housing with community-based services and health care to coordinate services. An article in Generations Today explores how SASH is being used in different states.
A recent Aging and Disability Business Institute profile explores Elder Services of the Merrimack Valley and North Shore and My Care Family Accountable Care Organization (ACO) partnership. The alliance resulted in better health outcomes for Medicaid beneficiaries and the expansion of contracts to address social needs, including housing and nutrition.
Join the Center for Health Care Strategies (CHCS) on November 15 as they launch the Getting Started with a Master Plan for Aging toolkit. CHCS will outline the eight key “building blocks” that state leaders, advocates, industry leaders, and other interested stakeholders can use to gain governor and legislature support for an MPA in their states. Leaders from California will also share their experience.
Tomorrow, TSF President & CEO Sarita A. Mohanty will moderate a futurist discussion on how to reimagine and build a society where all populations can age well. We’re looking forward to hearing insights from experts in the fields of public health, media, and technology. In addition, we’ll recognize the recipient of our 2021 Innovation Award. See you there!
Journalists from the Investigative Reporting Program at UC Berkeley are sharing the experiences of older adults living in community through an equity lens. Recent coverage includes:
- ‘It Makes a Humongous Difference’: Lack of Wi-Fi in City Single-Room Occupancy Hotels Deepens Residents’ Isolation (San Francisco Chronicle)
- Hope and Disappointment for the Homeless in Oakland (The New York Times)
- ‘How Am I Going to Keep This Up?’ COVID Intensifies Plight of Family Caregivers (CalMatters)
Also, summer polling from the Associated Press-NORC Center for Public Affairs Research (AP-NORC) showed Americans generally think their communities offer the services needed to age at home. Yet, people of color and people with lower incomes are less likely to report their area does a good job providing health care, transportation, and in-home supports, among other services.
Tomorrow, we will examine the temporary Medicare and Medicaid flexibilities enacted in response to COVID-19. Come consider what flexibilities should become permanent to achieve person-centered care for the future.
Medicare and Medicaid policy changes enabled during the pandemic can create a roadmap to better care for adults with complex needs. Learn more.
- Health Management Associates describes initial and ongoing Medicare and Medicaid adaptations enacted during the pandemic.
- Manatt Health examines how states are using policy flexibilities to improve long-term services and supports.
- Our June 2020 brief unpacks how the changes supported California applications of person-centered care.
- Convergence Center for Policy Resolution is working with national experts to reimagine the long-term care system and make it more affordable.
My Care, My Choice (MCMC), a tool we developed to help Californians with Medicare and Medicaid better understand their health care options, has moved to a new home. Through a grant from the Administration for Community Living, the National Council on Aging has adopted the resource with plans to adapt it for more states, starting first with Ohio. Read the press release.
We hope you’re enjoying our 2021 Forum: Amplifying All Voices in Aging. Our virtual series, Wednesdays in October, continues with a focus on supporting older adults and people with disabilities who have complex needs.
Tomorrow, join us to learn about applications of the core competencies created by the National Center for Complex Health & Social Needs (National Center). These competencies are helping the health care and social service sectors deliver team-based and person-centered care.
Amplifying All Voices in Aging is a four-week virtual series, every Wednesday in October, to share people’s experiences engaging with health care and long-term services and supports (LTSS).
On Wednesday, October 6, learn about the pressing issues facing California’s LTSS system, engage with leaders to better understand the state’s policy landscape through an equity lens, and consider where you can play a role.
Amplifying All Voices in Aging is a four-week series to share people’s experiences engaging with health care and long-term services and supports (LTSS). Every Wednesday in October, we’ll hearfrom experts and stakeholders and discuss how to advance person-focused, policy-driven solutions to support older adults and families. Register today!
October 6 – Amplifying All Voices in LTSS Systems Transformation: California State of the State
For California’s older adults, people with disabilities and family caregivers, the past year brought significant challenges, including equity issues magnified by COVID-19. The Master Plan for Aging demonstrates a commitment to addressing system issues and related inequities with transformation on the horizon through opportunities such as the California Advancing and Innovating Medi-Cal (CalAIM) initiative. In this session…
October 13 – From Theory to Practice: Delivering Care for People with Complex Needs
Supporting older adults and people with disabilities who have complex needs can be challenging, but services have become more integrated and focused on a person’s goals. This makes it essential to enlist providers who can deliver person-centered care. The National Center for Complex Health & Social Needs created a set of core competencies for the health care and social service sectors. This session will provide…
October 20 – Transforming Medicare and Medicaid Beyond COVID-19 for a Person-Centered Future
While COVID-19 exposed problems in meeting the medical and nonmedical needs of older adults, the federal government allowed states and local providers substantial flexibilities in how care could be organized, delivered, and paid for through Medicare and Medicaid. This emergency response unveiled new ways to deliver care to those living with complex needs beyond what was previously imagined. In this session…
October 27 – A Future Vision for Aging Well and Equitably Beyond COVID: Reflections from Public Health, Media, and Technology Leaders
By 2034, the United States will have more older adults than children and increasing racial and ethnic diversity across the population. How do we reimagine and build an equitable society where all populations can age well, particularly in light of reshaped perspectives from the COVID-19 crisis? This discussion will include…
This year’s virtual Forum, Amplifying All Voices in Aging, is a four-week series sharing people’s experiences engaging with health care and long-term services and supports. Each week we will hear from experts and stakeholders on a range of topics. View information on each session and register today!
Amplifying All Voices in LTSS Systems Transformation: California State of the State (October 6)
A wide range of Americans rely on long-term care (LTC) for help with daily living. Nearly half of all adults aged 65 today will need LTC at some point in their lives. Learn about current proposals for LTC that expand access to home- and community-based services (HCBS).
- Watch this week’s webinar addressing LTC affordability and current proposals to expand Medicaid HCBS.
- Read a new report from the Bipartisan Policy Center on how LTC can be made more affordable for people who do not qualify for Medicaid.
This year’s virtual Forum, Amplifying All Voices in Aging, is a four-week series sharing people’s experiences engaging with health care and long-term services and supports (LTSS). Each week, we will hear from experts and stakeholders on a range of topics from the state of LTSS systems in California to transforming Medicare and Medicaid beyond COVID-19 for a person-centered future. View the agenda, and register today!
Enacted on July 12, California’s 2021-22 budget addresses longstanding system challenges impacting older adults, people with disabilities, and family caregivers. Read our fact sheet to learn about key investments to support implementation of the Master Plan for Aging and California’s Home- and Community-Based Spending Plan.
Join us with the Bipartisan Policy Center (BPC) on Tuesday, September 14, for a virtual discussion of proposals to expand the availability of Medicaid home- and community-based services (HCBS). BPC will also release a new report on making long-term care more affordable for people who do not qualify for Medicaid.
Related: Read a new blog from the National Conference of State Legislatures highlighting opportunities for states to improve access to HCBS through several options, including the Medicaid HCBS funding in the American Rescue Plan Act.
The National Committee for Quality Assurance (NCQA) developed outcome measures that assess whether health care is helping older adults achieve “what matters most” to them.
Learn how states can use person-driven outcomes to drive quality and accountability in contracted health plans. Watch prior webinars:
The nation’s long-term care system must become more accessible and affordable if it’s to meet the needs of older adults and people with disabilities.
To accelerate progress, AARP Public Policy Institute has launched LTSS Choices: A Series on Advancing Transformation in Long-Term Services and Supports.
This year’s virtual event, Amplifying All Voices in Aging, is a four-week series to explore the stories of real people aging and engaging with our health care and long-term services and supports systems. We will also hear from experts and stakeholders along the way.
We partner with UC Berkeley’s Investigative Reporting Program to build awareness on aging in America and elevate how myriad sectors affect the lives of older adults. See the latest coverage below.
The latest Associated Press-NORC Center for Public Affairs Research (AP-NORC) poll shows Americans generally think their communities offer the services needed to age at home. Yet, people of color and people with lower incomes are less likely to report their area does a good job providing health care, transportation, and in-home supports, among other services.
“Americans want to age at home, but not all populations have the ability to do so—particularly communities of color and those of lower socioeconomic status,” said Dr. Sarita A. Mohanty, President & CEO of The SCAN Foundation. “Through the thoughtful use of the American Rescue Plan funds, states and localities can make a huge difference by creating more equitable access to key community services that make living well and safely at home a reality.”
Read the related Associated Press coverage.
Explore the latest toolkit from The National Center for Complex Health & Social Needs comprised of best practices for developing complex care programs.
Person-driven outcome (PDO) measures assess the quality of care based on what matters most to individuals.
The National Committee for Quality Assurance (NCQA) is building PDO measures into their programs for health care entities and states to consider using in order to drive quality and accountability.
- Watch a recent webinar highlighting how states can apply enhanced home-and community-based services funding to quality improvement activities, including PDO.
- Register for the PDO briefing on July 21.
- As part of the NCQA Quality Innovation Series, join health care professionals for the PDO course on August 4.
A Generations Today article explains how Medicare Advantage plans are using special supplemental benefits to offer home- and community-based services, address social determinants of health, and improve the lives of their members.
(If you received a link directly from ADBI, please use that link to complete the survey.)
New research from the Center for Consumer Engagement in Health Innovation shares Medicare-Medicaid beneficiary perspectives on integrated care and offers recommendations to improve enrollment.
- Read Listening to Dually Eligible Individuals: Person-Centered Enrollment Strategies for Integrated Care.
- Check out the Person-Centered Enrollment Strategies for Integrated Care Toolkit.
- Watch an expert panel discuss the findings and recommendations.
Read a new Bipartisan Policy Center brief identifying key challenges and opportunities to expanding Medicare and Medicaid home- and community-based services (HCBS), as well as policy options for congressional consideration.
Join our president & CEO at two national events highlighting key issues in transforming care for older adults:
- June 8 at Forbes Health in Action: Dr. Mohanty and a panel of experts will discuss challenges in reaching older adults and other vulnerable populations during the pandemic.
- June 9 at the National Health Equity Summit: Dr. Mohanty will moderate a panel on eradicating ageism as a critical component of advancing health equity.
The California Collaborative for Long Term Services and Supports (CCLTSS) and Regional Coalitions advocate to transform care for older adults and people with disabilities, including support for the Master Plan for Aging.
- Read a blog highlighting recent Senior Advocacy Day activities.
- Attend local forums across the state to learn more about the Master Plan for Aging.
- Visit the CCLTSS Master Plan for Aging legislation tracker.
Join us at Forbes Health in Action on June 8 to hear about challenges on reaching vulnerable populations during the pandemic, and its unique impact on older Americans.
- Sarita Mohanty, The SCAN Foundation
- John Kao, Alignment Healthcare
- Bruce Japsen, Forbes
Join us on June 9 at the National Health Equity Summit where a distinguished panel will address eradicating ageism as a critical component of advancing health equity.
- Sarita Mohanty, The SCAN Foundation (Moderator)
- Ken Dychtwald, Age Wave
- Nathaniel Kendall-Taylor, FrameWorks Institute
- Phyllis Meadows, Kresge Foundation
- Terry Fulmer, The John A. Hartford Foundation
Read recent articles highlighting thoughts from our new President and CEO, Dr.
Sarita Mohanty, and TSF grantee work:
- The New York Times spoke with Dr. Mohanty on how COVID-19 made many families and older adults reconsider nursing home care.
- In an op-ed for The Hill, Dr. Mohanty shares why investing in a Master Plan for Aging and person-centered care models is essential.
- The Sacramento Bee article describes how the Program of All-Inclusive Care for the Elderly (PACE) helps older adults age well in community during COVID-19 (via UC Berkeley Investigative Reporting Program).
- The Associated Press reported that Americans believe government should help adults age at home, according to a new Associated Press-NORC Center for Public Affairs Research poll.
California leads the way with a Master Plan for Aging, and other states are considering the opportunity.
A key element of a successful Master Plan is committed leadership from elected officials. Learn more about Master Plan activities in California and other states:
- Read a new report from National Conference of State Legislatures highlighting policy approaches for meeting the needs of an aging population, including a Master Plan.
- Watch a briefing on a recent California poll where voters called for state leaders to invest in equity and the Master Plan.
This spring, J. Wallin Opinion Research surveyed 1,000 likely voters across California to gauge support of the Master Plan for Aging. Findings showed that voters want elected officials and state leaders to invest in the Master Plan for Aging, with a focus on equity and those affected by Alzheimer’s disease.
Learn more about the survey and share key findings:
- Presentation: Understanding Voters’ Perspectives on California’s Master Plan for Aging
- Press release
- Infographic & social media toolkit
A new poll from the Associated Press-NORC Center for Public Affairs Research (AP-NORC) shows strong public support for government policies to help people age in their own homes and communities. Given the choice, most Americans want to receive care and support at home as they grow older.
Apply now for the The John A. Hartford Foundation 2021 Business Innovation Award. The award recognizes community-based organizations for their strategic partnerships with health care entities serving older adults and people with disabilities.
Nominations due by May 14, 2021.
Read two recent articles highlighting TSF-supported work.
- The New York Times describes re-thinking care beyond nursing homes, and how states are responding through a Master Plan for Aging.
- The Conversation/Yahoo News discusses racial and other disparities when addressing care preferences of older people, and how health systems can become more person-centered.
To better serve people living with complex care needs, a recent report from by the Camden Coalition’s National Center for Complex Health and Social Needs outlines core competencies for providers in this field.
- Attend a webinar hosted by Grantmakers in Aging and Grantmakers in Health to learn more about the Core Competencies for Frontline Complex Care Providers.
- Funders can also check out Creating New Connections: How Philanthropy Can Support Better Care for People with Complex Health and Social Needs for insights on key issues and ways to deepen their work.
Medicare Advantage plans have historic flexibility to provide nonmedical benefits — such as food, prescription delivery, and housing assistance — to meet the needs of their members with complex health conditions. Read more about these Special Supplemental Benefits for the Chronically Ill (SSBCI) from the Better Care Playbook:
- ATI Advisory and Long-Term Quality Alliance explore the promising potential of SSBCI.
- ATI Advisory outlines actionable strategies for plans and providers to implement SSBCI.
Read a new brief from Resources for Integrated Care on key considerations for effective partnerships between health plans and community-based organizations (CBOs) to meet members’ needs, such as meal delivery, social engagement activities, and transportation.
- Learn about the growth of cross-sector partnerships in a recent blog post from the Better Care Playbook.
Results from an Aging and Disability Business Institute (ADBI) survey offer insights to help CBOs present a business case to health care entities.
- Read a blog post from the Better Care Playbook about Area Agencies on Aging meeting health-related social needs; and
- Complete CBO readiness assessments from ADBI.
Eight foundation leaders herald the California’s Master Plan for Aging, calling forth the importance of partnership and priorities to ensure equity in aging with dignity and independence for all.
Read Manatt Health’s updated resource guide, spotlighting how states are transforming long-term services and supports during COVID-19 and planning for the future.
A new analysis from ATI Advisory and the Long-Term Quality Alliance (LTQA) shows that more Medicare Advantage plans are offering Special Supplemental Benefits for the Chronically Ill (SSBCI) and with wider availability. Learn more about ways to advance new nonmedical supplemental benefits in Medicare:
- Explore a new data brief and chartbook on Medicare Advantage plan offerings in 2021.
- Hear new insights on opportunities for policymakers.
- Watch Part 1 and Part 2 of a webinar series and review the slides.
- Read the Roadmap for plan considerations and policy opportunities.
Aging and Disability Business Institute (ADBI) provides resources and training to community-based organizations seeking to build contracting relationships with health care partners.
Visit the redesigned ADBI website for:
- A new Resource Library
- Updated suite of assessment tools
- Best practices in contracting through Partnerships in Action
The Pacesetter Prize shines a light on states that are actively creating a high-performing system of care, and shares best practices.
Watch our recent webinar with Pacesetter Prize state leaders who shared insights about challenges and successes.
Read an article that highlights these leading states and opportunities to plan for an aging population.
- Affordability and Access: Connecticut won for its robust program offerings – featuring extensive benefit options – for people with and without Medicaid.
- Choice of Setting and Provider: New Jersey won for being a national leader in using managed care to give more choices, and increasing access to home- and community-based care for Medicare-eligible adults with complex needs.
- Support for Family Caregivers: New York won for its comprehensive approach to empowering family caregivers, strengthening paid family leave laws, and expanding transportation options.
- Effective Transitions: Ohio won for its successful efforts to move people who need LTSS out of institutions and back into community-based settings.
Learn more about the Pacesetter Prize and continue the conversation on social with #PacesetterPrize.
Nearly 250 federal regulatory changes have occurred in response to COVID-19, and will likely continue in the near future. Read Health Management Associates’ new analysis and blog on updates to Medicare regulatory flexibilities since July 2020 (co-funded with The Commonwealth Fund).
Learn about the Community Care Connections program that helps older adults with complex needs navigate medical and social services, and shows promise on reducing acute care utilization.
Join the Long-Term Quality Alliance (LTQA) and ATI Advisory for a new webinar on ways to advance nonmedical supplemental benefits in 2022 and beyond, featuring experts from health plans, providers, and advocacy groups.
The Master Plan for Aging presents a comprehensive blueprint for public and private entities at the state, regional, and local levels to address system issues and transform services across housing, transportation, health care, and long-term services and supports.
Learn how California’s Master Plan meets the five elements for plan success.
Today, the state released the Master Plan for Aging, a visionary, 10-year blueprint that seeks to build an equitable California where everyone has the opportunity to age with dignity and independence in the place that they call home. Hear from the foundation CEOs.
Watch the video conference to learn about the Master Plan’s five bold goals and 23 strategies for building a California for All Ages by 2030.
Join us for a January 22 conversation about how states can improve long-term services and supports (LTSS) for older adults, people with disabilities, and family caregivers. This event will honor the winning states of the 2020 Pacesetter Prize: Connecticut, New Jersey, New York, and Ohio. The Prize, which uses data from the AARP LTSS State Scorecard, shines light on states that are actively building a high-quality infrastructure for aging Americans.
The Bipartisan Policy Center (BPC) re-released its 2019 report on ways to expand supplemental benefits in Medicare for those with complex care needs. Starting in 2020, Medicare Advantage plans were permitted to offer special supplemental benefits for the chronically ill (SSBCI).
ATI Advisory and Long-Term Quality Alliance (LTQA) shared resources on the nonmedical supplemental benefits in Medicare Advantage. The related November 19 webinar recording and presentation slides are now available on the Better Care Playbook.
Read additional information from the Aging and Disability Business Institute: Changes to Medicare Advantage Reinforce the Role of CBOs in Supplemental Benefits.
Last month, the 2020 Pacesetter Prize for leadership in improving long-term services and supports (LTSS) for older adults, people with disabilities, and family caregivers was awarded to Connecticut, New Jersey, New York, and Ohio.
The ATI Advisory and Long-Term Quality Alliance (LTQA) released new resources on the expanded, nonmedical supplemental benefits in Medicare Advantage, including a roadmap outlining actionable steps as well as a brief explaining short- and long-term policy opportunities.
Join today’s 9:30 am (Pacific time) webinar from the Better Care Playbook to hear more.
Connecticut, New Jersey, New York, and Ohio received the latest Pacesetter Prize for leadership in improving long-term services and supports (LTSS) for older adults, people with disabilities, and family caregivers. Each winning state had improvements or innovations in key areas of LTSS, based on data from the AARP LTSS State Scorecard.
Read the American Society on Aging (ASA) Generations Blog: Work Left to Be Done After LTSS Scorecard Shows States’ Performance
An upcoming webinar from the Better Care Playbook will explore considerations for health plan adoption and implementation of expanded supplemental benefits to address social needs. Register today.
Register now for our 2020 Forum: Honoring the Journey of Growing Older on October 19-20! It will include livestream plenaries, breakout sessions, performances, and more. Materials for our sessions are now available in the Forum Lobby.
- Wondering if you have time to join us?
- Use the Forum App to network and receive helpful notifications throughout the two-day event.
Search for “The SCAN Foundation Forum” in the App store (Apple or Android) and select “Download.” The Forum App is totally free! You will need to log in using the email address you used to register for the Forum and sign up for notifications.
This week, ATI Advisory released analysis on Medicare Advantage (MA) Plan Year 2021 data. Some 738 plans are offering nonmedical supplemental benefits in 2021, an increase of 48 percent from 2020.
Recently, AARP released the fourth edition of the Long-Term Services and Supports (LTSS) State Scorecard. It provides comparable data in order for state leaders, stakeholders, and others to benchmark performance, measure progress, and identify key areas of improvement.
See how California ranked, and Crossfit bodybuilding mma combat sport trenbolone australia horizon torus 3 multi gym buy with 52 customer ratings – sport-tiedje. read our policy brief. Read related coverage from McKnight’s Senior Living.
New polling from the Associated Press-NORC Center for Public Affairs Research (AP-NORC) shows that more than one-third of U.S. family caregivers have seen their responsibilities increase due to COVID-19. Yet, 2020 has not led to any heightened awareness when it comes to preparations for growing older or providing support to others.
A related Associated Press article further distills caregivers’ current experiences.
Just in time for open enrollment, My Care, My Choice can help Californians with Medicare and Medi-Cal better understand their care choices! New information about plan choices for 2021 is now available, and resources are available in Traditional and Simplified Chinese, along with English and Spanish.
Our virtual lobby is now open for our 2020 Forum: Honoring the Journey of Growing Older! The two-day event, October 19-20, will include livestream plenaries, breakout sessions, performances, and more.
Today, AARP unveiled the findings of the Long-Term Services and Supports (LTSS) State Scorecard. This fourth edition measures state performance for creating a high-quality system across five dimensions: Affordability and Access, Choice of Setting and Provider, Quality of Life and Quality of Care, Support for Family Caregivers, and Effective Transitions.
The LTSS State Scorecard provides comparable data in order for state leaders, stakeholders, and others to benchmark performance, measure progress, and identify key areas of improvement.
California ranked ninth overall on the 2020 LTSS State Scorecard, maintaining the same rank from 2017.
Our latest policy brief provides an overview of the state’s Scorecard performance and key recommendations for transforming its LTSS system to better serve older adults, people with disabilities, and family caregivers.
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Please join us for the virtual release of Advancing Action: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers from 10-11:30 am PT on Thursday, September 24. Register here.
This fourth edition of the LTSS State Scorecard measures state level data, policies, practices, and costs to compare system performance and set benchmarks for future reform. Check out the 2017 edition of the Scorecard.
Community health workers (CHWs) are health professionals who connect the communities they serve with needed health and social services.
The Better Care Playbook curated this diverse set of recent resources for health care organizations interested in developing and expanding CHW programs.
To help us navigate the challenges of a pandemic, the Centers for Medicare & Medicaid Services is encouraging states to allow for a family member to serve in a paid caregiver role. This blog is part of a series of posts in advance of the 2020 release of the next Long-Term Services and Supports State Scorecard.
The COVID-19 pandemic has brought policy flexibilities that can array a better care roadmap for adults with complex needs. These resources highlight how Medicare and Medicaid changes are transforming care for older adults and people with disabilities.
- NEW: Health Management Associates describes federal Medicare and Medicaid changes during the pandemic (co-funded with The Commonwealth Fund).
- Manatt Health examines how states are using flexibilities to improve long-term services and supports (LTSS).
- Our TSF brief unpacks how California is using these for person-centered care.
Finally, a new Better Care Playbook blog post shares how learnings can foster health care and LTSS renovation, “making lemonade from a very sour lemon.”
Learn about a complex care management program that lowered costs and improved outcomes for people with complex care needs by adding key members to individuals’ care teams.
On June 29, Governor Gavin Newsom signed California’s 2020-21 budget.
The budget addresses the $54.3 billion deficit while maintaining funding for critical programs serving older adults, people with disabilities, and family caregivers.
The risk of budget deficits in future years could still pose a threat to these critical programs.
Read our fact sheet.
Last year, we celebrated the power of communications to broaden awareness and impact change for older adults and families. Check out our 2019 Annual Report.
The California Advocacy Network is a statewide movement involving nearly 1,000 organizations who serve more than 95 percent of California’s population. Explore our new map, and learn more about the Network members’ goals for 2020-21.
A new guide and worksheet from the Aging and Disability Business Institute and the National Council on Aging help community-based organizations (CBOs) develop value propositions to promote their services to Medicare Advantage (MA) plans.
The Aging and Disability Business Institute (ADBI) has released two parts of a new community-based organization (CBO)/health care resource that shares best practices for contracting.
Our latest policy brief takes a closer look at how California has implemented federal flexibilities to ensure the state’s long-term services and supports (LTSS) system is responsive to the needs of older adults and people with disabilities during the pandemic. Earlier this month, Manatt Health reviewed how other states have responded to meet LTSS needs.
Manatt Health highlights how states are using flexibilities available during the coronavirus pandemic, with an emphasis on continued access to long-term services and supports in the community.
On May 14, 2020, California Governor Newsom released the May Revision of the 2020-21 proposed budget. The revision includes cuts to and elimination of critical home- and community-based services that impact the state’s most vulnerable older adults, people with disabilities, and family caregivers.
Read the TSF fact sheet.
New analysis from ATI Advisory and the Long-Term Quality Alliance shows how new nonmedical supplemental benefits can play an important role in meeting the evolving and dynamic needs of Medicare Advantage beneficiaries during the coronavirus (COVID-19) pandemic.
A poll from NORC shows that a majority of U.S. adults age 70 and older have canceled or delayed medical care since social distancing began due to COVID-19. It also reveals that 20 percent of older adults have had a telehealth appointment, and almost half say the experience was about the same as their in-person visits. Access the chart pack for the full findings and visualizations.
Every day, older adults contribute to the vitality of California as parents, grandparents, friends, employees, employers, mentors, volunteers, artists, advocates, and more.
Since 1963, our nation has recognized May as Older Americans Month.
This year, the state is celebrating Older Californians Month through the Make Your Mark campaign. Join in to celebrate what older Californians are doing in your community to stay safe and healthy!
COVID-19 is shining a light on the lack of coordination between Medicare and Medicaid, and is uncovering new opportunities to better serve dually eligible populations.
Read TSF Board Member Melanie Bella’s blog post in the Better Care Playbook.
Alongside the long-term care flexibilities created due to COVID-19, mobility managers connect older adults and people with disabilities to transportation services in their communities.
A recent AARP blog unpacks the latest trends.
A new poll from NORC, sponsored by The John A. Hartford Foundation and TSF, shows that a majority of U.
S. adults age 70 and older have canceled or delayed medical care since social distancing began due to COVID-19, including one in six who have delayed essential medical treatments.
The nationally representative survey reveals that 20 percent of older adults have had a telehealth appointment, and almost half say the experience was about the same as their in-person visits.
The Aging and Disability Business Institute annual survey unpacks how community-based organizations (CBOs) are adapting and expanding services to meet the health-related, social needs of older adults and people with disabilities. The deadline to contribute is May 1.
April 16 was National Healthcare Decisions Day, a time set aside to educate and empower everyone about the importance of advance care planning.
To support health care professionals at the center of the pandemic, California State University (CSU) is offering free educational tools through June 30.
Health care stakeholders are changing how they operate to confront coronavirus (COVID-19).
As new policies emerge, the Better Care Playbook has created a resource center to curate federal guidance aimed at addressing COVID-19 for people with complex care needs.
Health care stakeholders are changing how they operate to confront coronavirus (COVID-19).
As new policies emerge, the Better Care Playbook has created a resource center to curate federal guidance aimed at addressing COVID-19 for people with complex care needs.
Also, ATI Advisory created a helpful slide deck to describe recent federal and state policy action.
Case managers play an increasingly vital role in today’s hospital landscape.
The Care Excellence case management training for hospitals contains three series of self-paced courses.
Today at 10 am, PT, tune into AARP’s Coronavirus Tele-Town Hall on caring for family, friends, and neighbors during the coronavirus (COVID-19) pandemic. They’ll talk about creating a care plan, coordinating backup care, staying connected to isolated loved ones, and accessing local resources.
In addition, check out the following:
- We’re sharing ideas on ways to cope with the near and long-term effects of the pandemic—because we are all in this together.
- Family Caregiver Alliance has compiled a list of resources and articles for caregivers and their loved ones.
- An article from Recode shares how older adults can use technology to stay healthy and connected during this challenging time.
Every three years, based on results of the AARP Long-Term Services and Supports (LTSS) State Scorecard, we honor states making significant progress in improving LTSS for older adults, people with disabilities, and family caregivers.
In 2017, Wisconsin was awarded the Pacesetter Prize for Choice of Setting and Provider. The state exhibited more progress in this domain than any other state, moving up from No. 8 in the 2011 Scorecard to No. 6. The next Pacesetter Prize recipients will be announced in summer 2020.
Do you advise people who would like to learn more about their Medicare and Medi-Cal benefits?
In a recent mini-documentary created by Univision and shared on My Care, My Choice, Ernesto Vazquez describes his experience with navigating Medicare and Medicaid.
Learn about a Northern California model’s three-pronged approach to help long-term care residents return to the community.
New federal opportunities are prompting states to develop or enhance integrated care programs for individuals dually eligible for Medicare and Medicaid.
In this new brief from the Center for Health Care Strategies (CHCS), early adopters of these care models share insights on the factors that drove their investment and led to successful implementation.
Dr. Chernof and the Administration for Community Living’s Lance Robertson published a Health Affairs blog on addressing social determinants of health through partnerships between health care and community-based organizations (CBOs).
The Long-Term Quality Alliance (LTQA), in collaboration with ATI Advisory (formerly Anne Tumlinson Innovations), recently held a public briefing on implementing Medicare Advantage, nonmedical flexibilities made possible through the CHRONIC Care Act. A recording of the event and related materials are now available.
Every three years, based on results of the AARP Long-Term Services and Supports (LTSS) State Scorecard, we honor states making significant progress in improving LTSS for older adults, people with disabilities, and family caregivers.
In 2017, Vermont was awarded the Pacesetter Prize for Affordability and Access. The state moved up from No. 19 in the 2011 Scorecard to No. 3, exhibiting more improvement than any other state. The next Pacesetter Prize recipients will be announced in summer 2020.
Read our fact sheet on how this proposal would impact the state’s older adults, people with disabilities, and the Master Plan for Aging.
Our initiative page on partnerships between community-based organizations (CBOs) and the health care sector links to myriad resources including the Aging and Disability Business Institute, training modules for CBOs to build their business acumen, and last year’s Blueprint for Health Plans.
The Care Excellence training program helps prepare care management teams in health plans and hospitals to best serve diverse older adults with complex needs. Check out the latest course offerings.
The AgingToday article discusses how health systems are learning to integrate the 4Ms (What Matters, Medication, Mentation, Mobility) into their workflows to improve care for older adults.
A TSF-authored AARP blog post discusses how the California Master Plan should engage public and private sectors in systems-based solutions that touch all aspects of life experience (e.g., health, human services, housing, and transportation, among others).
Here are TSF’s top three most accessed publications last year:
On Tuesday, January 7, the Long-Term Quality Alliance (LTQA) – in collaboration with Anne Tumlinson Innovations (ATI) and with support from TSF – will hold a public briefing on Medicare Advantage and the CHRONIC Care Act. We invite anyone interested in Medicare Advantage supplemental benefits to hear from Senator Mark Warner and a policy panel of expert stakeholders.
Medicare Advantage plans now have the flexibility to offer special non-medical benefits for members with complex care needs. Read guiding principles on how these benefits can best support consumers and be sustainable. Also, hear from the National MLTSS (Managed Long-Term Services and Supports) Health Plan Association, one group who helped to develop these principles.
The National Academy for State Health Policy (NASHP) recently highlighted the Medicare-Medicaid integration efforts of leading states.
A related toolkit from Center for Health Care Strategies, Inc., shares strategies states can implement when reforming their Medicaid long-term services and supports.
Most Americans want to age in place in their homes and community and are largely supported by family, friends, and neighbors.
Learn what Minnesota is doing to ensure their publicly funded long-term services and supports (LTSS) also support older adults’ needs and preferences.
Just in time for Medicare’s open enrollment, My 4 bodybuilding programs to lose weight test propionate domyos 10 kg weight training and cross training vest decathlon. Care, My Choice resources are now available in Traditional and Simplified Chinese, along with English and Spanish. See how it can help Californians with Medicare and Medi-Cal better understand their care choices!
A new My Care, My Choice Comparison Chart unpacks the basics of California’s health care coverage choices for dual eligibles.
Millions of older adults have chronic conditions and daily living needs. Starting in 2020, the Centers for Medicare & Medicaid Services allows Medicare Advantage (MA) health plans unprecedented flexibility to offer special supplemental benefits for chronically ill (SSBCI) enrollees.
Anne Tumlinson Innovations and the Long-Term Quality Alliance, with funding from TSF, gathered 30 industry leaders to develop guiding principles on how these benefits can best meet consumer needs and be sustainable.
Reflecting on Lannion. Bodybuilding record … Freediving buying test e home strength training program: best exercises and method. our 10th anniversary, Driving Change: The SCAN Foundation’s First 10 Years highlights successes during our first decade and recommits to transforming care for older adults, now and for the future.
Transportation can be a major obstacle for those who want to age in place, but do not drive.
This AARP report, part of the 2017 Long-Term Services and Supports (LTSS) State Scorecard, details the value of and access to mobility managers.
The Care Excellence training program helps prepare care management teams in health plans and hospitals to best serve diverse older adults with complex needs.
Here are a few TSF-funded resources on care integration:
- The Center for Consumer Engagement in Health Innovation hosted a fall symposium on state duals demonstrations, which resulted in 10 recommendations.
- The Center for Health Care Strategies and Manatt Health Strategies toolkit shares approaches for states seeking to reform their Medicaid long-term services and supports systems.
With a focus on sharing skills and resources, the Aging and Disability Business Institute (ADBI) seeks to strengthen partnerships between health care systems and community-based organizations (CBOs) that serve older adults and people with disabilities.
- Health Care Quality Metrics and Measures provides an overview of compliance and quality improvement for CBOs entering into contracts with health care entities.
The National Governors Association Center for Best Practices (NGA Center) published a new report with considerations for governors and state leaders as they design and implement strategies to meet the long-term care needs of older adults and people with disabilities.
The Handbook of Geriatric Assessment, Fifth Edition, is a multidisciplinary text that takes a contemporary approach in line with person- and family-centered care.
Authored by Drs. Terry Fulmer, president of The John A.
Hartford Foundation (JAHF), and Bruce Chernof, president and CEO of The SCAN Foundation, and with contributions from other foremost experts in the field, it contains the latest information on geriatric assessment for older adults.
Completely updated and revised, the Fifth Edition includes several new chapters, including demographic trends, age-friendly health systems, payment reform and impact, the Veterans Affairs health system, self-care and management, impact on familial relations, vulnerable populations, building geriatric interdisciplinary teams, advance care planning, caregiver information, spiritual assessment, older adult hunger, and transitions of care.
States have significant flexibility to transform their Medicaid long-term services and supports (LTSS) programs in ways that advance care quality and manage costs.
This toolkit from the Center for Health Care Strategies and Manatt Health shares proven, replicable strategies for states to improve person-centered, community-based options. It identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance their LTSS reforms.
The toolkit, developed with support from The SCAN Foundation and the Milbank Memorial Fund, also highlights opportunities and challenges that states faced in designing and implementing reforms.
“Great struggles sometimes result in unexpected opportunities.
In the waning moments of 2012, Congress remained in session to bridge partisan divides to solve the fiscal cliff impasse with the passage of the American Taxpayer Relief Act (ATRA).
Signing the ATRA into law also achieved policy change on items far beyond the tax code. For example, the new law repealed the Community Living Assistance Services and Support (CLASS) provision in the Affordable Care Act.
” Read on…