Www.TheSCANFoundation.org Championing Aging with Dignity & Independence: The SCAN Foundation’s Strategic Direction & New Options for Long-Term Care Financing

www.TheSCANFoundation.org

Championing Aging with Dignity & Independence:

The SCAN Foundation’s Strategic Direction& New Options for Long-Term Care Financing

Gretchen E. Alkema, Ph.D.Vice President, Policy & Communications

Long-Term Care Discussion GroupJuly 17, 2014


Key Take-Home Messages

1. Redefining the problem: Patients people

2. TSF’s strategic framework: A path forward

3. LTC financing: Shaping a solve


http://www.cdc.gov/nchs/data/nvsr/nvsr62/nvsr62_06.pdf

190049 yrs

1935

1965

2009

78 yrs

69 yrs

62 yrs

*Adapted from National Center for Health Statistics-National Vital Statistics Service Reports

2010

Acute Illness / Chronic Illness

20101. Heart disease2. Cancer3. Chronic lung diseases4. Stroke5. Accidents6. Alzheimer’s Disease7. Diabetes8. Nephritis9. Influenza and Pneumonia10. Suicide

19101. Heart disease2. Influenza and Pneumonia3. Tuberculosis 4. Diarrhea/intestinal diseases5. Stroke 6. Nephritis7. Accidents (ex. motor vehicle) 8. Cancer9. Premature birth10. Senility

Changing times, changing focus


Costs of chronic conditions &functional impairment

DataBrief (2011) ● No. 22

Annual Per Capita Medicare Spending in 2006, by Number of Chronic Conditions and Presence of Functional Impairment1

1 N = 22,104,694 with any chronic conditions and no functional impairment, N = 3,562,347 with any chronic conditions and functional impairment. Excludes beneficiaries who died in 2006.

$5,961

$2,626$4,039

$5,972$7,116

$10,133

$17,498 $18,223

$15,435

$13,283

$17,375

$19,763

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

$16,000

$18,000

$20,000

Any ChronicCondition

1 ChronicCondition

2 ChronicConditions

3 ChronicConditions

4 ChronicConditions

5 or More ChronicConditions

Seniors without functional impairment Seniors with functional impairment


Redefining the problem…


Structural lag…


The last mile…

Page 21


Measuring “last mile” breakdown


Smattering of work to date


Patients People


Integrate care and financing for Medicare-Medicaid eligible individuals

• California tracking efforts• Measuring quality• Advocacy engagement• Policy solutions• Communications

Goal #1: Duals integration


Build the business case for person-centered care models that value dignity, choice, and independence

• Operationalizing person-centered care• Policy & program solutions• Communications

Goal #2: Person-centered care


LTC financing: Shaping a solve


Increase the range of viable long-term care financing solutions

• Financial modeling• Policy recommendations• Communications

Goal #3: LTC financing


Goal 2

Goal 3

Goal 1

Relating goals to various populations


The real policy goal…


Our vision is a society where older adults can

access health and supportive services of their choosing to meet

their needs.

Our mission is to advance a coordinated and easily

navigated system of high-quality services for

older adults that preserves dignity and

independence.

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Www.TheSCANFoundation.org Championing Aging with Dignity & Independence: The SCAN Foundation’s Strategic Direction & New Options for Long-Term Care Financing