Sep 182019
 
Workable Financing of Eldercare: The Window is Closing

By Joanne Lynn Within just a dozen years, the U.S. will have nearly double the current number of frail and disabled elderly people needing daily supportive services. Look around! What is being done to prepare for this expectable increase? Already most cities have long waiting lists for home-delivered meals, and no city in the U.S. […]

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Aug 212019
 
What They Did: CBOs and the Community-based Care Transitions Program

by Anne Montgomery Now that the health care sector is focusing on social determinants of health (SDOH) in older adults and actively pursuing partnerships with community-based organizations (CBOs) to meet a surging demand for supportive services, it’s an excellent time to ask: What do we already know from key demonstration programs in this space? Some […]

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Jun 182019
 
Community-based Health Organizations - An Innovation Path for Supportive Services

By Anne Montgomery Time is growing short to make big changes to basic processes for service delivery to elders, who will soon constitute one-fifth of the U.S. population. Basically, we have a mismatch between the health care delivery system and what many older adults actually need. Typically, older adults typically see multiple clinicians working in […]

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May 082019
 
The April 2019 CMMI Proposals for Innovative Payment Models

By Joanne Lynn May 7, 2019 CMMI has announced that they will soon call for proposals for a bevy of new payment models, aiming to reduce hospitalization without harming quality by allowing a great deal of flexibility by practicing primary care clinicians for Part A and Part B services in Medicare and by allowing contracting […]

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Apr 302019
 
HELP WANTED: Better-paid, better-trained, caring workers to provide long term supports and services!

By Sarah Slocum Across the U.S., we see more and more reports about a shortage of well-trained staff who are committed to providing in-home and other long term supports and services. The pinch of the shortage is apparent in many communities where it’s difficult to execute in-home service plans, and residential providers struggle to stay […]

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Feb 272019
 
Culture Change in Nursing Homes: A New Start in Michigan for 2019

For an enterprise that sometimes seems beleaguered, culture change in nursing homes is a bright spot of positive, forward-looking movement and quality improvement. Yet widespread implementation of culture change – anchored in comprehensive staff training in person-centered care — has not yet happened. Part of the reason is that the specific gains that culture change […]

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Dec 182018
 
A New Focus on Supports in Medicare – Supplemental Benefits 2020

By Joanne Lynn “Starting in 2020, we are going to be expanding that range of [Medicare Advantage] benefits…to include home modifications, home-delivered meals, and more.” — Alex Azar, Secretary of HHS [The Root of the Problem: America’s Social Determinants of Health, November 14, 2018, as prepared for delivery] Aha! Medicare leadership is awakening to the […]

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Dec 032018
 
What Local Government Can Do for Aging Populations: Insights from San Diego County

By Nick Macchione and Joanne Lynn This blog entry was written for the Milbank Memorial Fund and is reposted here with permission. State and local leaders who aim to improve population health must help older Americans live well with the challenges associated with aging. Given the rapidly rising number of elders, local governments have remarkable […]

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Nov 282018
 
Advocacy and the global demographic “age wave”—what is being done to help family caregivers?

By Anne Montgomery Originally published in AgingToday Volume xxxix: Number 6; November–December 2018 and is reposted here with permission. In America and worldwide, the “age wave” has gathered in force—no more so than in Japan, where 27 percent of the population is already older than age 65, a number that will rise to 40 percent […]

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Watch out for the Medicaid Cliff!

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Nov 192018
 
Watch out for the Medicaid Cliff!

By Sarah Slocum You’re 65 and you’ve worked all of your adult life, saved up a nest egg, earned a pension, saved in a retirement account, and paid into Social Security and Medicare. You have a pretty nice retirement income and lifestyle. Now suppose you need long term supports and services (LTSS) at some point […]

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