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.

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.

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.

“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 recent webcast from innovation-focused Future Proof unpacks what an Multisector Plan for Aging (MPA) is, what it looks like at different stages, and how it can be valuable to a variety of communities and priorities. The episode, made possible by the American Society on Aging (ASA), also explores applying an aging and disability lens and going beyond traditional health and community services to build a movement.

• Don’t miss today’s 10 am Future Proof Live on cross-sector planning for aging at the local and state levels.

Also, check out the latest ASA blog post on supporting local MPAs in rural communities.

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.

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.

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.

The Aging and Disability Business Institute at USAging is now accepting nominations for The John A. Hartford Foundation 2023 Business Innovation Award. The deadline for nominations is May 5.

The John A. Hartford Foundation 2023 Business Innovation Award recognizes aging and disability community-based organizations (CBOs) for their innovative approaches to reducing health care costs and improving the well-being of older adults and people with disabilities through contracts and strategic partnerships with health care entities. The goal is to scale these types of partnerships nationwide. Apply today.

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.

Four years into implementation, nearly 40 percent of Medicare Advantage (MA) plans are offering either expanded primarily health-related benefits (EPHRB) or Special Supplemental Benefits for the Chronically Ill (SSBCI) to help beneficiaries meet goals for independence. The latest report produced by ATI Advisory and Long-Term Quality Alliance (LTQA) examines the growth of three specific benefits: in-home support services, caregiver supports, and social needs.

Watch a recording complementing the report featuring opening remarks from TSF Vice President of Policy Narda Ipakchi.

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.

Join Alliance for Health Policy this Friday for a webinar: Moving Beyond COVID-19: Considerations for Using PHE Flexibilities to Improve Person-Centered Care. The event will feature TSF leadership and a diverse panel of experts to discuss considerations for using the public health emergence (PHE) flexibilities to improve person-centered, equitable care for older adults.

This webinar further unpacks the PHE Flexibilities Roadmap for Policymakers resources supported by TSF and released earlier this year. The Roadmap provides concrete and consensus-driven recommendations to federal and state policymakers on which temporary Medicare and Medicaid flexibilities should be made permanent. View the related media advisory.

The National Opinion Research Center (NORC) at the University of Chicago conducted a 2022 survey on the health care needs and experiences of Californians age 55 and older. Our new fact sheets distill findings as they relate to care coordination, mental health, income disparities, and caregiving.

Learn about our initiative to influence access and care delivery and coordinate medical and nonmedical services in support of community living.

How are Medicare Advantage (MA) plans structuring and delivering nonmedical supplemental benefits to meaningfully meet members’ needs? The Long-Term Quality Alliance (LTQA) and ATI Advisory conducted an analysis of three nonmedical benefits: in-home support services (IHSS), caregiver supports, and social needs. Join them for a webinar to learn about the findings.

A Multisector Plan for Aging (MPA) is an umbrella term for a state-led, multiyear planning process that convenes cross-sector stakeholders to address the needs of older adults and people with disabilities.

A Center for Health Care Strategies (CHCS) blog from Kim McCoy Wade – Senior Advisor on Aging, Disability and Alzheimer’s for the Office of California Governor Gavin Newsom – offers advice to states that are beginning the journey. Also, watch a recent Future Proof Live episode all about MPAs.

The complex care evidence base is growing, yet meaningful patient involvement in the research is lacking. As a result, researchers often measure “success” as defined by health systems and plans, typically based on reduced utilization and costs.

The Better Care Playbook engaged a social justice, community, and behavioral health advocate to discuss the value of involving people with lived experience in the research process.