Author: eldercarerules

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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Community-based Health Organizations – An Innovation Path for Supportive Services

Picture of Anne Montgomery

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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The April 2019 CMMI Proposals for Innovative Payment Models

Portrait of Dr. Joanne Lynn

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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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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A New Focus on Supports in Medicare – Supplemental Benefits 2020

Portrait of Dr. Joanne Lynn

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

Nick Macchione, Joanne Lynn

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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The Base Case: An HIT Funding Opportunity for Area Agencies on Aging

Katy Weber and Anne Montgomery

By Anne Montgomery and Katy Weber This blog entry was written for n4a’s Aging and Disability Business Institute and is reposted here with permission. Despite a surging population of adults age 60 and older in the United States and increasing pressure for more integrated health and social services systems, the Aging Network faces significant challenges

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

Photo of Anne Montgomery and Aging Today Logo

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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What We Know to Do Won’t Be Done and Wouldn’t be Enough! (But We Could Make Eldercare Work!)

Portrait of Dr. Joanne Lynn

by Joanne Lynn Our aging society is a mountain to be moved – a large collective challenge we have to tackle together. Problem is, right now we’re using shovels when bulldozers would hardly do the job. The mountain is reforming how eldercare is delivered and funded. We’ve allowed so many forces to converge over the

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