Making it safe to grow old
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
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
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
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
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
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
By Anne Montgomery and Sarah Slocum On May 4, 2018, the Michigan State Legislature voted to “just do it:” to assemble a group of experts to craft a blueprint for taking the Wolverine State deep into the future of Michigan’s age wave – all the way through the mid-21st century. Specifically, the language requires the
By Anne Montgomery, Sarah Slocum and Christine Stanik What do you need to know in order to remain in your own home as the years advance? Where can you turn for good, reliable services in a costly, chaotic, constantly shifting health care system? One possible answer is PACE (the Program of All-inclusive Care for the
By Sonja Love Felton, LMSW, MPA Executive Director of Huron Valley PACE huronvalleypace.org Huron Valley PACE, in Ypsilanti, Michigan, is a young PACE organization – we were established only 4 years ago. However, we’ve been moving quickly since the day we opened our doors. Most readers likely know that PACE is an acronym for Program
By Joanne Lynn and Sarah Slocum “All models are wrong, but some are useful”. – George Box In late November, the Centers for Medicare and Medicaid Services (CMS) released an extensive evaluation of the Community-based Care Transitions Program (CCTP). (https://downloads.cms.gov/files/cmmi/cctp-final-eval-rpt.pdf) While the report has some useful points, the primary metrics used to measure performance –
Program to Improve Eldercare 