The Buzz

News on transforming care for older adults


    Tagged in: `complex care`

    January27 th

    The Center for Health Care Strategies recently convened innovators who developed seven considerations when designing and refining complex care programs.

    Also, Health Affairs will be hosting a virtual forum tomorrow that highlights key elements from its series on complex care along with the voices of patients, caregivers, and advocates who have firsthand experience in the field.

    January20 th

    California’s MPA has inspired unprecedented levels of coordinated action across the state’s network of aging and disability providers, policymakers, researchers, and advocates. See what’s planned for 2022 and hear from Dr. Mohanty at Friday’s anniversary event.

    December8 th

    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.

    Learn the who, what, where, and how of home and community-based services (HCBS) in a new fact sheet from AARP as part of a series on transforming long-term services and supports (LTSS) as part of the LTSS State Scorecard.

    December1 st

    Building on lessons during COVID-19, a new National Academy of Medicine paper outlines priority actions and policy considerations for centering patients, families, and communities in health care delivery. Read a related report examining the care system’s pandemic response. 

    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.

    November17 th

    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 Forum culminated with a poem written in real time bringing us back to the heart of the matter: What do we mean by “aging well” and “aging equitably”? View all the Forum recordings and resources.

    Illustration created by graphic recorder Christopher Fuller of Griot's Eye Inc. This illustration summarizes the major themes and ideas that were discussed during The SCAN Foundation's 2021 Forum: Amplifying All Voices in Aging. The graphic is divided into four quadrants. The top left quadrant represents week 1: "Amplifying All Voices in Long-Term Services and Supports Systems Transformation: California State of the State" and some of the selected highlights are: 1) a simple icon representing the COVID-19 shape with white text that says, "COVID-19 has been challenging, but let's not waste the opportunity it gives us!" 2) Next to the COVID-19 drawing is a drawing of a pie with the word "equity" carved into it. Surrounding the pie is the text, "budget planning: Bake equity in!" 3) a drawing of a megaphone that announces, "bring in more voices!" Then in the top right quadrant, the artist has summarized week 2 "From Theory to Practice: Delivering Care for People with Complex Needs" with the following highlights: 1) a drawing of an open toolbox that is labeled "The complex care toolkit." The toolkit's features are listed as: "building blocks for training; guidelines for hiring and attitudes; and case studies." 2) A drawing of a woman's face with an accompanying word balloon that says, "I know, because I've been there." This drawing is headlined by the words, "empathy" and "value the lived experience." 3) a drawing of three people that represents a well-trained interdisciplinary, diverse, care team. The bottom left quadrant features illustrated highlights from week 3 "Transforming Medicare and Medicaid Beyond COVID-19 for a Person-Centered Future." Some of its highlights are: 1) A drawing showing a barn versus a city skyline with the header, "let's expand remote services beyond rural!" 2) A drawing of a nurse practitioner administering an IV with the header "Stabilize the workforce with people working above their license." 3) A drawing of a daughter and her older father having a video visit with a doctor. The header for this illustration is "Telehealth benefits all!" The bottom right quadrant is week 4 "A Future Vision for Aging Well and Equitably Beyond COVID: Reflections from Public Health, Media, and Technology Leaders." The artist has captured two main highlights from that session that both show the importance of storytelling. The first graphic shows a grandmother having a video visit on her computer with her grandchildren. This image is juxtaposed with an older homeless man holding a sign that says, "no food, no home, no water, no power, no wifi." Above their graphic is the header, "make stories personable!" And below the drawing is the words, "make broadband accessible!" The second graphic captured by the artist is a quote from the poem, "Ode to Aging Well and Equitably" by Brian Sonia-Wallace that was created for the 2021 Forum. The quote is: "hidden inequalities cry for storytellers." Tying the four quadrants together is a centerpiece illustration featuring a diverse group of adults, including one man in a wheelchair, family, health care workers, and community members that jointly hold a large sign featuring the name of the event: "2021 Forum: Amplifying All Voices In Aging."

    November10 th

    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.

    October26 th

    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.

    Join ATI Advisory and Long-Term Quality Alliance on November 16 to hear the latest research insights and policy recommendations for nonmedical supplemental benefits in Medicare Advantage (MA).

    October19 th

    We hope you’re enjoying Amplifying All Voices in Aging each Wednesday in October. It’s not too late to watch previous weeks’ recordings and register for our third session!

    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.

    Photos of speakers

    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.
    October12 th

    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.

    Register for this week’s panel!

    The National Center, an initiative of the Camden Coalition, developed a web-based and downloadable toolkit to help educators and managers teach and train complex care. The core competencies comprise the knowledge, skills, and attitudes for members of teams or individual providers working in complex care programs.

     

     

    A recent article highlights how person-driven outcome measures developed by the National Committee for Quality Assurance (NCQA) can be used to assess quality, promote person-centered care, and improve the care experience for individuals and their providers.

    October5 th

    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.

    It’s not too late to register!

    September29 th

    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…

    September9 th

    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.

    August25 th

    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.

    Related: Watch a video on supporting family caregivers, and read a Health Affairs blog about current policy options.

    August18 th

    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.

    Watch a promo about the event.

    Mark your calendars! 2021 Forum Amplifying All Voices in Aging. Join us for a weekly series at 12 pm PT in October.

     

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