The Buzz

News on transforming care for older adults


    Tagged in: `person-centered care`

    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
    May1 st

    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.”

    Graphic celebrating AAPI Heritage Month

    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
    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.
    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

    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)
    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.

    Everyone experiences aging differently. Our long-time project with Hollywood, Health & Society, part of the USC Annenberg Norman Lear Center, has aimed to change the narrative around aging through entertainment by encouraging screenwriters to write more diverse and dynamic storylines for older actors.
    Check out our latest video featuring TSF President and CEO Sarita A. Mohanty, MD, MPH, MPA, and a number of beloved actors who note they’re “still in the game.”
    Image of actors starring in video
    From left: Norman Lear, Mimi Kennedy, George Takei, Marla Gibbs, and George Wallace PHILLIP FARAONE/GETTY IMAGES; EMMA MCINTYRE/GETTY IMAGES; TRISTAN FEWINGS/GETTY IMAGES; MICHAEL TULLBERG/GETTY IMAGES; ABE GINSBERG/GETTY IMAGES

    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.

    February28 th

    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.

    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.

    Image advertising March 13 webinar
    February15 th

    TSF’s Anika S. Heavener, Vice President of Innovation and Investments, spoke with Silver Solutions CEO Dan Lagani for the Age Wise podcast on the challenges facing aging populations and TSF’s priorities and hopes in 2023. Watch the episode.

    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.

    February1 st

    The National Committee for Quality Assurance (NCQA) developed, implemented, and tested a new set of person-centered outcome (PCO) measures. PCO measures drive care that matters to people and encourage organizations throughout the care continuum to work together in an integrated manner to help people achieve their health goals.

    Learn more about how the PCO measures promote more efficient and effective health care for people with complex needs and watch a presentation of the work at the NCQA 2022 Health Innovation Summit.
    Graphic about person-centered outcome measures

    The latest chartbook from ATI Advisory provides insight on supplemental benefits offered by Medicare Advantage (MA) plans in 2023, including the recently expanded primarily health-related benefits (EPHRB) and the Special Supplemental Benefits for the Chronically Ill (SSBCI).

    The chartbook offers an analysis of the benefit offerings, along with maps of where benefits are available, the number of plans offering these benefits, and the MA organizations with the most plans offering these benefits.
    January26 th

    Governor Newsom’s 2023-24 proposed budget focuses on housing, workforce issues, economic security, and other initiatives that impact older adults and people with disabilities. Learn how the proposed budget maintains key investments in the state’s Master Plan for Aging (MPA).Graphic reflecting the resources and expenditures of the 2023-24 CA proposed budget

    January19 th

    By the end of the decade, all baby boomers will be age 65 and older. Recognizing this shift and the variety of factors that affect the aging experience, state policymakers have engaged numerous programs to help older adults thrive.

    The National Conference of State Legislatures (NCSL) highlights progress across the country, including those states already implementing Multisector Plans for Aging (MPAs) or participating in the Multisector Plan for Aging Learning Collaborative.

    Logo of the National Conference of State Legislatures

    The American Society on Aging (ASA) is partnering with The John A. Hartford Foundation, West Health, and TSF on a blog series and programming to foster Multisector Plans for Aging (MPAs) across the country. The first post unpacks MPA components and how to get involved.

    Also, join the January 25 Future Proof Live webinar on MPAs, and how states can coordinate infrastructure and services through these statewide comprehensive plans to go beyond traditional health and community services.
    Map of Multisector Plan for Aging Activity Across States