The Buzz

In a recent blog, we teamed with Milbank Memorial Fund to discuss how states can overcome challenges and make the most of American Rescue Plan Act funding for home- and community-based services (HCBS).

Medicare and Medicaid flexibilities enacted during the pandemic created opportunities to advance person-centered care. Join our President and CEO Sarita A. Mohanty TODAY, March 30, for a discussion hosted by Alliance for Health Policy on how to strengthen these flexibilities for future generations.

A new issue brief and policymaker playbook from Health Management Associates and Manatt Health provide a framework to help policymakers assess which COVID-19 Medicare and Medicaid regulatory flexibilities advance person-centered care and should be made permanent.

Join our President and CEO Sarita A. Mohanty on March 30 for a discussion hosted by Alliance for Health Policy on how to maintain and strengthen these flexibilities for future generations.

There is a clear need to assess the impact of Medicare and Medicaid flexibilities enacted during the pandemic. Join an Alliance for Health Policy event on March 30 for a discussion on how to maintain and strengthen these flexibilities for future generations. In the meantime, watch a related session from TSF’s 2021 Forum. 

COVID-19 disproportionately affected older adults, those with complex health conditions, and family caregivers. Manatt Health’s updated resource guide assesses which COVID-19-related policies should be made a permanent part of broader long-term services and supports (LTSS) system reform.

Our Sustaining Flexibilities in Medicare and Medicaid initiative engages partners to expand the knowledge base through reporting on the implementation and outcomes of the Medicare-Medicaid flexibilities. Watch a Duke-Margolis Center for Health Policy video that discusses leveraging reforms to expand home-based care. 

Dr. Mohanty recently reflected on 2021 and looked ahead to efforts TSF is advancing. Read her Perspectives and watch the related clip.

Governor Newsom’s recently released 2022-23 proposed budget includes several changes that impact services for older adults and people with disabilities. See how the proposed budget addresses Master Plan for Aging priorities like health care access and the care economy workforce.

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.

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.

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.

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.

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.

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.

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!

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!

Our updated policy brief shares the latest on states that have developed Master Plans, examples of their key elements, and how states without a Master Plan can get started.

Also, read our recent fact sheet on California’s 2021-22 budget to learn about key investments to support implementation of the Master Plan and the state’s Home- and Community-Based Spending Plan.

An Associated Press-NORC Center for Public Affairs Research (AP-NORC) poll finds that many older adults continue to worry about COVID-19 infection and are more likely to practice social distancing. To cope with increased isolation, older adults are using video chat, social media, and telehealth when needed.

Read the press release and related Associated Press coverage.

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…