The Buzz

Building on the opportunity for further coordination and greater impact to address racial and ethnic disparities, our United for Health Equity in Aging Summit convened the aging and disability sectors with the racial equity and social justice movements for a day of informative panels and energizing dialogue.

The TSF event was rooted in the lived experience of older adults from marginalized communities and we were honored to have several of them join us in person.

Materials from the Summit, including older adult video stories and a photo gallery are now available, as well as a full livestream recording. Take a look!

TSF is driving efforts to ensure equitable aging for all and funding efforts to illustrate key research. The second in a series from the LeadingAge LTSS Center @UMass Boston uses Health and Retirement Survey data to elucidate health inequities in aging.

During COVID-19, Black and Hispanic older adults reported using telehealth less and delaying medical care more often than white respondents. Access the latest chart pack.

We’re thrilled to share that President and CEO Sarita A. Mohanty is recognized alongside 199 other entrepreneurs, investors, inventors, and artists on Forbes’ third annual 50 Over 50 list.

The acknowledgment in the announcement about age being a superpower resonates deeply with the worldview we embrace at TSF and the positive impact we strive to make. Read more of Sarita’s reflections on LinkedIn.

By asking individuals with complex care needs “what matters most?” person-centered outcome (PCO) measures drive care that aligns with people’s personal health goals, and encourage organizations throughout the care continuum to work together in an integrated manner.

The National Committee for Quality Assurance (NCQA) convened multidisciplinary experts to review the current landscape of goal attainment scaling methodology and identify best practices for implementing the method with diverse audiences. The learnings from these convenings contributed to the following:

1. Advancing Best Practices for Goal Attainment Scaling (white paper)
2. Using Goal Attainment Scaling (online training module)

These resources can help health care delivery systems and other entities start documenting what matters most to an individual in a structured way.

Finally, a session at NCQA’s Health Innovation Summit will focus on current efforts to test the PCO measures (October 25, 2:50 pm ET). Register today.

Bringing awareness to aging and equity issues, our partnership with UC Berkeley’s Investigative Reporting Program advances unique reporting. A recent piece in The Washington Post examines states’ actions to train paid caregivers in an effort to better care for our growing aging population.

The latest report from the Agency for Healthcare Research and Quality examines opportunities for developing a person-centered care system and integrating the voices of older adults, caregivers, and communities to design effective models of care for improving older adults’ health and well-being. View the spring roundtable report.

Health disparities among older adults are further exacerbated for individuals from historically marginalized communities. Efforts to address racial and ethnic disparities in aging exist, but there is an opportunity for further coordination and greater impact.

Last week, we held our inaugural United for Health Equity in Aging Summit, convening the aging and disability sectors with the racial equity and social justice movements. Panels were informative, conversations were energizing, and the stories shared by older adults throughout the day grounded us.

We’re still reflecting! Materials and next steps from the meeting will be shared in the coming weeks. Until then, learn about the Advancing Health Equity in Aging initiative and meet individuals from the movement.

Read the chartbook; attend the July 17 webinar.

California’s older Medicare beneficiaries with income just above the Medi-Cal eligibility limit (near dual) have a similar demographic profile to people dually eligible for Medicare and Medi-Cal. They also have higher rates of disability and less access to social supports than those with higher incomes. However, they are not eligible for Medi-Cal long-term services and supports and do not have the resources to pay privately for care.

To better understand the demographics and needs of this population, the California Department of Health Care Services (DHCS) Office of Medicare Innovation and Integration recently released a Profile of Older Californians: Medicare Beneficiaries Near Income Eligibility for Medi-Cal. Developed by ATI Advisory, this is the third chartbook in a series that provides information on the demographics, needs, and health care experiences of California’s Medicare beneficiaries. See the other chartbooks, and the related TSF webpage:

• Profile of the California Medicare Population
• Cultural and Linguistic Demographics of the California Medicare Population

Join TSF on July 17 for a webinar and discussion hosted by DHCS which will build on the chartbook topics.

TSF Director of Strategic Initiatives Natalie King discussed the unique needs and challenges of our aging population with Unite Us, highlighting the importance of cross-sector collaboration and technology in developing comprehensive and effective solutions.

King conveyed the importance of elevating the voices of older people of color, older adults with lower incomes, and older residents of geographically underserved areas. She also brought to light some data and technology inequities experienced by older adults. View the recording.

“In 10 years, 1 out of every 4 New Yorkers will be over age 60,” said Adam Herbst, deputy commissioner for the Health Department’s Office of Aging and Long Term Care. “What that means is a tremendous shift in everything,” he said, “our communities, our economy, our budget, how we value our families, so many significant things.” …

“We started with small things, like putting benches near grocery stores and possibly giving the aging places to sit inside the store to rest, and slowing the time for crosswalk signals on some streets,” said architect Edward Mills, who served on the Age-Friendly New York City Commission …

Read more from a WAMC Northeast Public Radio piece about New York’s efforts to develop their Master Plan for Aging (MPA). This journalism was supported by our partnership with UC Berkeley’s Investigative Reporting Program. Also, learn more about MPA activities across the country.

Ten states — Connecticut, Iowa, Maryland, Massachusetts, Missouri, Nevada, New Hampshire, Pennsylvania, Utah, and Washington State — have been selected to participate in the next Multisector Plan for Aging (MPA) Learning Collaborative.

Led by the Center for Health Care Strategies (CHCS) and made possible through support from TSF, West Health, and the May & Stanley Smith Charitable Trust, the learning community is helping states advance planning efforts to support the needs of older adults, people with disabilities, and family caregivers across the nation. Learn more.

A resource guide published by USAging’s Aging and Disability Business Institute, the Partnership to Align Social Care, and the Camden Coalition lists five reasons why health plans should work with community-based organizations (CBOs) and uses case examples from real-life partnerships.

Read Partnerships with Community-based Organizations: Opportunities for Health Plans to Create Value.

Last year The SCAN Foundation joined in the celebration of Juneteenth, recognizing its profound importance for Black people in the United States. We are committed to centering the experiences of older Black adults and all people of color – elevating their voices and perspectives as we pursue equity and transformative systems change.

We’ve continued our evolution as an organization – finalizing a strategic plan that prioritizes efforts to improve the lives of people from Black communities and all older people of color. We’ve launched our first public expression of this goal with our Advancing Health Equity in Aging initiative.

Although important health equity conversations are being had, aging is often overlooked. The initiative aims to reduce health inequities and improve the lives of older adults from historically marginalized communities. Launched in October 2022, we are harmonizing efforts by activating and sustaining a diverse, cross-sector network of leaders and accelerators – Equity Community Organizing (ECO) Groups – to develop and design solutions targeting the specific drivers of poor health outcomes. Simultaneously, we’re dedicated to engaging those with lived experience at each phase of the work.

As a philanthropic organization, we recognize the privilege we carry and its ability to effect change. Although we’ve asserted ourselves in past efforts, this initiative is different as it has been built from the ground up. We recognize that power must be shared with community, and that community is more than capable of explaining what it needs and identifying levers to improve health and well-being.

This Juneteenth, we honor Black older adults; we are listening to community; and we are honing our plans for long overdue efforts. We hope you’ll follow the work.

Although recent data from the LeadingAge LTSS Center @UMass Boston shows that U.S. adults, age 50+, feel their care preferences are being considered more often, stark racial and socioeconomic inequities persist. That’s the main finding of a comprehensive look at care preferences from 2014-20, funded by The SCAN Foundation.

The analyses reveal that race, income, and geography highly influence people’s care experiences. Read the related press release.

The “forgotten middle” represents more than 11 million older adults who will need health care and housing in the next 10 years but won’t qualify for Medicaid to help alleviate increasing costs.

Last month, we hosted a virtual briefing on the urgent need for action. Sarita A. Mohanty, President and CEO of The SCAN Foundation, and Caroline Pearson, Executive Director at the Peterson Center on Healthcare, discussed the intersections of housing insecurity, health care access and affordability, and community services. Watch the recording.

Earlier this year, The SCAN Foundation’s Vice President of Policy Narda Ipakchi joined seven other U.S. leaders and met with peers in Australia, New Zealand, and Singapore to learn about innovative global efforts to advance health care delivery and equity.

How can we translate these insights and get more creative within our U.S. system? A recent piece about the trip is a New York Times guest essay by trip participant Aaron E. Carroll, MD, MS, Chief Health Officer of Indiana University.

The California Department of Health Care Services Office of Medicare Innovation and Integration recently released the second in a series of chartbooks developed with ATI Advisory. Each resource provides information on the demographics, needs, and health care experiences of California’s Medicare beneficiary population.

Developing programs and services that are culturally and linguistically responsive is critical to addressing disparities and improving the care experience. Cultural and Linguistic Demographics of the California Medicare Population includes information about language and birthplace demographics. Also, read the prior chartbook, an overview of the state’s Medicare beneficiaries.

We partner with UC Berkeley’s Investigative Reporting Program (IRP) to elevate innovative programs for older adults. Two recent articles share local activities that help older adults connect to their communities and could be replicated across the nation.

• An Atlanta-based collaborative is equipping Black churches with funding and support to make services more welcoming for people living with dementia and their families.
• Intergenerational programs in Connecticut and Ohio are helping older adults care for and retain their pets.

Review past articles in the IRP series.

The majority of older adults want to remain in their own homes and communities as they age, and home- and community-based care tends to be more cost-effective than institutional alternatives. Estimates indicate that gradually shifting Medicaid spending from institutional services to home- and community-based care, a process known as rebalancing, can reduce state costs by about 15 percent over 10 years.

The federal American Rescue Plan Act temporarily increased funding states could use to improve Medicaid home- and community-based services, known as HCBS. States have through March 31, 2025, to use the funding for a variety of HCBS services.

Learn more from the National Conference of State Legislatures, and watch a related webinar.

The “forgotten middle” represents more than 11 million older adults who will need health care and housing in the next 10 years but won’t qualify for Medicaid to help alleviate increasing costs. We’re hosting a virtual briefing on May 11 to discuss the urgent need for action.

Join Dr. Sarita A. Mohanty, President and CEO of The SCAN Foundation, and Caroline Pearson, Executive Director at the Peterson Center on Healthcare, to provide insights on how the intersections of housing insecurity, health care access and affordability, and available community services affect older adults.

Register for the May 11 webinar today.

This month, on behalf of Asian American and Pacific Islander (AAPI) Heritage Month, The SCAN Foundation celebrates the rich contributions of Asian American and Pacific Islanders to the history and culture of our nation.

The 2023 theme, Advancing Leaders Through Opportunity, is apt.

Although the first documented arrival of Asians in America was 1587 when Filipinos arrived in California, May was chosen as the time for commemoration in 1978, aligning with the immigration of the first Japanese to the United States on May 7, 1843. Additionally, May marks the date of the transcontinental railroad being completed on May 10, 1869. Most of the workers who laid the tracks for this enormous and often dangerous undertaking were immigrants from China.

We appreciate the overlay of the celebratory heritage month with Older Americans Month and seek to elevate AAPI leaders contributing to the aging, equity, and health care sectors. Come along with us on social media throughout the month as we elevate the contributions, influences, and impacts of AAPI individuals.

“There aren’t enough days in a year for us to recognize the contributions of the many individuals from the AAPI communities that we’d like to,” said Rigo J. Saborio, MSG, Vice President of Programs, Equity, and Community Impact. “Though we can’t name everyone, through this exercise we hope to acknowledge and honor a select group of leaders working and contributing so diligently to improve services and supports so we can all age well.”

Health disparities among older adults abound and are further exacerbated for individuals from historically marginalized communities. Efforts to address racial and ethnic disparities in aging exist, but there is an opportunity for further cohesion, expedition, and greater impact.

Launched in October 2022 and dedicated to engaging people with lived experience, the Advancing Health Equity in Aging initiative seeks to convene, organize, and harmonize efforts by sustaining a diverse, cross-sector network to develop and design solutions targeting the specific drivers of poor health outcomes. See who’s on our Steering Committee and learn more.

TSF is hiring a senior policy analyst. If you or someone you know has a passion for transforming systems to better serve older adults and people with disabilities and has professional experience with state aging, health, and long-term care policies, take a look at our latest recent job posting.

During the pandemic, the Central Coast Center for Independent Living (CCCIL) evolved their strategies to maximize programs’ impact on community members. Learn how the Regional Coalition is thinking about the future.

CCCIL is part of the California Advocacy Network, a statewide movement involving nearly 1,000 organizations who serve more than 95 percent of California’s population.

• Education is key to San Diego Senior Alliance’s aging initiative.
• Community needs are at the heart of Marin County Aging Action Initiative’s advocacy efforts.

Multisector Plans for Aging (MPAs) can serve as blueprints for committing to a vision and implementing a world where all people are fully valued, recognized, and engaged at all ages. A recent Grantmakers In Aging brief examines the fundamentals of the MPA movement and discusses how funders can get involved and help advance the work.

Earlier this year, Senior Services Coalition of Alameda County convened local stakeholders for a virtual conference, Making the Difference: Striving for Equity at the Intersection of Health, Housing and Aging in the Community. Event presentations, conference materials, and recordings of the sessions are now available on the Coalition’s website.

Through community health needs assessments, hospitals work with the community to identify unmet needs and then implement a plan to prioritize and address them. Nonprofit hospitals often fund some or most of this work using community benefit dollars. Join USAging’s Aging and Disability Business Institute (ADBI) this Friday for an overview of this process, why it is important, and how community-based organizations can partner with hospitals to drive more equitable health outcomes.

There is a lack of geriatric-prepared providers in rural areas where older adults live. A study of Pennsylvania’s largest federally qualified health center found that using the Project ECHO model to train rural providers on the 4Ms Age-Friendly Health Systems Framework demonstrated successful process outcomes.

TSF and our grantees are headed to Atlanta for the annual conference of the American Society on Aging (ASA). Check out where you can find us and register for On Aging 2023.

• Join TSF Vice President of Programs, Equity, and Community Impact Rigo Saborio and a distinguished set of speakers for a preconference workshop to unpack how a state can start and build momentum for a Multisector Plan for Aging. Hear strategies for building cross-agency collaboration and centering equity, learn how to engage diverse stakeholders, get guidance on tracking data and measuring success, and find out lessons learned from other states. (March 27)
• Why a Multisector Plan for Aging? States Share Their Unique Approaches and Tools. In this session, leaders from three states that are participating in an Multisector Plan for Aging (MPA) Learning Collaborative will describe where they are in their development process as well as their unique strategies for MPA development. This includes cross-sector planning and broad consumer and stakeholder engagement, using data, messaging, and more. (March 28)
• Building Partnerships to Deliver Medicare Advantage Nonmedical Benefits. Megan Burke, TSF Program Officer for Policy and Advocacy, will provide opening remarks during this session designed to present the latest trends in nonmedical benefits and illustrate the value and scope of innovative, collaborative partnerships to best deliver the benefits in a person-centered, tailored way within diverse communities across the country. (March 30)

Recounting her and her father’s experiences, recent TSF colleague Michelle Matter shares her perspective on cultural identity, “brave space,” and aging inequities through the American Society on Aging (ASA) Generations platform.

Our partnership with UC Berkeley’s Investigative Reporting Program supports reporting on issues affecting the lives of older adults living at home and in community. A recent piece in The Sacramento Bee and affiliated publications explores reasons why nearly 1.5 million eligible older adults in California aren’t taking advantage of the state food stamp program.

Last week, the Alliance for Health Policy held a webinar to discuss telehealth policy and other considerations for using the public health emergency (PHE) flexibilities to improve person-centered, equitable care for adults. Watch the recording, as well as access the transcript and presentation.

The related PHE Flexibilities Roadmap for Policymakers resources supported by TSF and released earlier this year provide concrete and consensus-driven recommendations to federal and state policymakers on which temporary Medicare and Medicaid flexibilities should be made permanent.

This month, Grantmakers In Aging (GIA) interviewed Rigo J. Saborio, TSF’s Vice President of Programs, Equity, and Community Impact. Recently elected to GIA’s Board of Directors, Rigo shared some insights on his professional journey and more.