The Buzz

News on transforming care for older adults

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    August9 th
    Image of Summit Logo

    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!

    Image of panel speakers from the United Health Equity in Aging Summit. Pictured: Eric Harris, Roque Barros, LaRae Cantley, and Eunice Lin Nichols

    Image of California for All Logo

    TSF champions Multisector Plans for Aging (MPA) in California, as well as at the regional and local levels. See the latest.

    STATE

    • As the state’s MPA implementation advances, the Little Hoover Commission is reviewing efforts to ensure accountability and progress toward MPA goals. TSF President and CEO Sarita A. Mohanty recently testified before the Commission to highlight successes and continued priorities. Read her testimony and watch the recording. A second hearing is scheduled for August 24 at 9:30 am PT.

    LOCAL

    • We launched a two-year rural MPA initiative, funding three members of the California Advocacy Network to develop local MPAs. Early findings from this work were highlighted in Generations, a publication of the American Society on Aging.
    • Visit California’s Data Dashboard for Aging for a map of age-friendly communities reporting activity around developing local MPAs.
    August2 nd

    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.

    Image of cover of AHRQ report
    July27 th

    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.

    Graphic image taken from initiative introduction video
    July12 th

    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.

    Image promoting the recent webinar

     

    “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.

    Map of Multisector Plan for Aging Activity Across States

    June28 th

    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.

    Map of Multisector Plan for Aging Activity Across States

    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.

    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.

    Image of ADBI Resource
    June15 th
    Image with Juneteenth message and colors

    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.

    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.

    Image of May 11 Forgotten Middle Virtual Briefing Promo Graphic

    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.

    Image of quote from article, which says: "“Our narrow view too often defines health care as what you get when you’re sick, not what you might need to remain well.”
    June1 st

    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.

    Pie graph image illustrating the primary languages of California Medicare beneficiaries with limited English proficiency

    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.

    May17 th

    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.

    Image of older couple at home

    In a recent article for Today’s Geriatric Medicine, TSF President and CEO Sarita A. Mohanty, MD, MPH, MBA, discussed barriers to aging well at home and in community, and potential solutions to make it more of a reality. It starts with a person having conversations with their families and friends as well as doctors about one’s “aging goals.”

    “This includes asking questions about [a person’s] future preferences and reiterating the need to plan how their needs will be met and how they will be paid for,” Dr. Mohanty said. “While helping every patient age in place is not the job of every physician, advocating for one’s patients is. Physicians and the organizations they work for can influence systems change and advocate for access to services for their older adult patients. …”

    May3 rd

    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.

    Image of May 11 Forgotten Middle Virtual Briefing Promo Graphic
    April26 th

    In a recent article for Today’s Geriatric Medicine, TSF President and CEO Sarita A. Mohanty, MD, MPH, MBA, discussed barriers to aging in place and potential solutions to make aging well more of a reality. It starts with a person having conversations with their families and friends as well as doctors about one’s “aging goals.”

    “This includes asking questions about [a person’s] future preferences and reiterating the need to plan how their needs will be met and how they will be paid for,” Dr. Mohanty said. “While helping every patient age in place is not the job of every physician, advocating for one’s patients is. Physicians and the organizations they work for can influence systems change and advocate for access to services for their older adult patients. …”

    April19 th

    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.

    Portrait of older woman of color

    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.

    Image announcing senior policy analyst job
    Logo of the Central Coast Center for Independent Living

    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.

    Check out other Regional Coalition feature stories.

    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.

    Image of trophy with announcement language about business innovation award
    April12 th
    A multisector plan for aging (MPA) is a state-led strategic planning resource that can help states transform the infrastructure and coordination of services for their rapidly aging population. In partnership with TSF, West Health, and the May & Stanley Smith Charitable Trust, the Center for Health Care Strategies (CHCS) is accepting applications for participation in the second cohort of a multistate learning collaborative to advance MPAs. Up to 10 states will be invited to participate in the 12‑month collaborative. Learn more and apply by May 1, at 2 pm PT.

    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.

    Image of Grantmakers In Aging Brief Cover Page

    California is transforming the Medi-Cal program to be more coordinated and person-centered through the California Advancing and​ Innovating Medi-Cal (CalAIM) program. For beneficiaries who qualify, managed care plans will offer enhanced care management and various community supports through community-based organizations (CBOs).

    To help CBOs build capacity to partner with health plans and participate in the new system, the state is offering Providing Access and Transforming Health (PATH) — Capacity and Infrastructure Transition, Expansion and Development (CITED) grants. Register for the April 27 webinar to learn about the grants and prepare for the future. (Sponsored by TSF and the Archstone Foundation)

    March29 th

    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.

    March23 rd

    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.

    Image promoting the 2023 ASA Multisector Plan for Aging National Symposium
    • 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)

    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.

    Image and anecdote from latest report

    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.

    March8 th

    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.