Some low-income seniors who qualify for both Medicare and Medicaid — the dual eligibles — have the chance to age in place in their communities thanks to Medicaid’s coverage of long term services and supports (LTSS). This is especially important for older adults who are juggling multiple chronic conditions and may require help with activities of daily living, like bathing, dressing, or eating.
This is a population at high risk for needing expensive institutional care, and is not the preferred site of care for most people. Community-based LTSS avoids institutionalizing many older adults and is a more cost-effective solution to the growing aging population. Continue reading
In a run-up to the July 13 White House Conference on Aging, (WHCOA) policy experts are stressing the need for increased funding for long-term services and supports (LTSS).
G. Lawrence Atkins, Ph.D. executive director, Long-Term Quality Alliance and president, National Academy of Social Insurance, reviewed key lessons from the Federal Commission on Long-Term Care and aging services innovations to frame future care delivery.
Atkins is the former chair of the commission, which issued a comprehensive report in 2013 calling for more funding and services for care and caregivers of older adults. About 78 percent of adults over age 65 has some type of unmet care need, requiring help with independent household activities of daily living. More than a quarter of older adults rely on outside help; 75 percent turn to family members to help meet their needs. Continue reading
AARP, The Commonwealth Fund and The SCAN Foundation have released their second long term care scorecard, a state-by-state breakdown of performance of long-term services and supports that help older adults, adults with disabilities and their family caregivers. The rankings looked at 26 performance indicators within five dimensions of care for each of the 50 states, plus the District of Columbia and classifies them against each other.
Minnesota led the way among all states in all dimensions – affordability and access, choice of setting and provider, quality of life and quality of care, support for family caregivers, and effective transitions. It was the only state to rank in the top quartile for all five dimensions.
“The scorecard underscores value and importance and of state leadership and state policy,” said Melinda Abrams, vice president for health care delivery system reform, The Commonwealth Fund in a telephone press briefing. “Leading states have implemented laws and policies that build stronger Medicaid programs, and support the family caregiver.”
Policymaking at the state level sets the stage for a high performance system, she said. Indicators such as strong paid sick leave policies for caregivers and more funding of home- and community-based services help older adults age in place longer, or keep them out of nursing homes all together. Continue reading