The Buzz

News on transforming care for older adults


    Tagged in: `medicaid`

    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

    As we get older, the majority of us will need some nonmedical help to remain independent. Learn how our grantees are championing solutions to finance nonmedical needs and advance key Medicare-Medicaid flexibilities from the COVID-19 public health emergency.

    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.

    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.

    My Care, My Choice (MCMC), a tool we developed to help Californians with Medicare and Medicaid better understand their health care options, has moved to a new home. Through a grant from the Administration for Community Living, the National Council on Aging has adopted the resource with plans to adapt it for more states, starting first with Ohio. Read the press release.

    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…

    September16 th

    A wide range of Americans rely on long-term care (LTC) for help with daily living. Nearly half of all adults aged 65 today will need LTC at some point in their lives. Learn about current proposals for LTC that expand access to home- and community-based services (HCBS).

    • Watch this week’s webinar addressing LTC affordability and current proposals to expand Medicaid HCBS.
    • Read a new report from the Bipartisan Policy Center on how LTC can be made more affordable for people who do not qualify for Medicaid.

    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.

    September1 st

    Join us with the Bipartisan Policy Center (BPC) on Tuesday, September 14, for a virtual discussion of proposals to expand the availability of Medicaid home- and community-based services (HCBS). BPC will also release a new report on making long-term care more affordable for people who do not qualify for Medicaid.

    Related: Read a new blog from the National Conference of State Legislatures highlighting opportunities for states to improve access to HCBS through several options, including the Medicaid HCBS funding in the American Rescue Plan Act.

    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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    June30 th

    New research from the Center for Consumer Engagement in Health Innovation shares Medicare-Medicaid beneficiary perspectives on integrated care and offers recommendations to improve enrollment.

    June15 th

    Read a new Bipartisan Policy Center brief identifying key challenges and opportunities to expanding Medicare and Medicaid home- and community-based services (HCBS), as well as policy options for congressional consideration.

    June2 nd

    The California Collaborative for Long Term Services and Supports (CCLTSS) and Regional Coalitions advocate to transform care for older adults and people with disabilities, including support for the Master Plan for Aging.

    Watch a recent National Conference of State Legislatures webinar where states share strategies for reducing long-term services and supports (LTSS) costs while providing quality care. A related report highlights the LTSS State Scorecard and long-term LTSS solutions.

    May25 th

    Read a new brief by Health Management Associates, co-funded with The Commonwealth Fund, which tracks Medicare regulatory flexibilities created during COVID-19. It provides a useful framework for policymakers to consider which temporary flexibilities should become permanent.

     

    Join us on June 9 at the National Health Equity Summit where a distinguished panel will address eradicating ageism as a critical component of advancing health equity.

    Panelists:

    • Sarita Mohanty, The SCAN Foundation (Moderator)
    • Ken Dychtwald, Age Wave
    • Nathaniel Kendall-Taylor, FrameWorks Institute
    • Phyllis Meadows, Kresge Foundation
    • Terry Fulmer, The John A. Hartford Foundation