Click to edit Master title style Click to edit Master title style Area Agency on Aging: the basics Presented by: Jayla Sanchez-Warren July 17, 2019
Click to edit Master title style Area Agency on Aging: the basics Click to edit Master title style • federally mandated program • authority and funding through Older Americans Act and Older Coloradoans Act • 622 area agencies on aging nationwide • 16 area agencies on aging in Colorado
Click to edit Master title style DRCOG Area Agency on Aging Click to edit Master title style Helps people age better • provides information and services • funds community services • identifies and fills gaps in services and plans for future needs • advocates on behalf of older adults and their caregivers
Click to edit Master title style AAA Funded Service Categories Click to edit Master title style • adult day care • homemaker • assisted transportation • information and assistance • case management • legal assistance • caregiver support • material aid • options counseling • nutritional counseling • chore congregate meals • nutrition education • counseling • ombudsman • disease prevention and • outreach health promotion • personal care • education • public information • home-delivered meals • reassurance • home health • transportation
Click to edit Master title style Services offered by the DRCOG Area Agency on Aging Click to edit Master title style • Long-Term Care Ombudsman program 2019 • Program of All-Inclusive Care for the Elderly Ombudsman • Information and Assistance • contracts management • options counseling • case management • State Health Insurance Assistance Program • Veteran-Directed Care • community transitions • elder refugee services • Accountable Health Communities • evidence-based programs
Click to edit Master title style 2019 funded contractors Click to edit Master title style • Adams County • Brothers Department of Redevelopment Regional Affairs • Catholic Charities • Alzheimer’s • City and County of Association Broomfield • American Council of • City and County of the Blind and Visually Denver, Office on Impaired Aging • Asian Pacific • Colorado Center for the Development Center Blind • Arapahoe County • Colorado Community Resources Gerontological Society • Audio Information Network of Colorado 6
Click to edit Master title style 2019 funded contractors (continued) Click to edit Master title style • Colorado Legal Services • Mount Evans Home Health Care and Hospice • Colorado Visiting Nurse • The Senior Hub • Dominican Home Health • Seniors’ Resource Center • Douglas County Department of Community Development • Senior Support Services • Health SET • Southwest Improvement Council • Jefferson County Mental Health • Tri-County Health Department • Jewish Family Service of • Volunteers of America Colorado • Lutheran Family Services Rocky Mountains 7
Click to edit Master title style Forces of Change Click to edit Master title style health care changes uncertain federal growing funding emphasis on partnerships Area Agency on Aging community- based innovation organization increased fragmentation and capacity state funding relevance in business other driving forces environment population growth (60 and older)
Click to edit Master title style Click to edit Master title style Challenge POPULATION
Click to edit Master title style 60-plus population Click to edit Master title style Forecasted percent growth (2016-2050) 180% 166% 166% 160% 148% 140% 140% 113% 120% 100% 88% 85% 80% 68% 60% 40% 15% 20% 2.6% 0% Adams Arapahoe Boulder Broomfield Clear Creek Denver Douglas Gilpin Jefferson DRCOG
Click to edit Master title style 75-plus population Click to edit Master title style Forecasted percent growth (2016-2050) 500% 446% 450% 400% 350% 300% 278% 267% 239% 233% 250% 223% 198% 200% 180% 180% 150% 115% 100% 50% 0% Adams Arapahoe Boulder Broomfield Clear Creek Denver Douglas Gilpin Jefferson DRCOG
Click to edit Master title style Growth by age group: 2016-2050 Click to edit Master title style Age group % change (2016-2050) 95-plus 489% 85-plus 308% 65-plus 141% all ages 43%
Click to edit Master title style Click to edit Master title style Challenges ECONOMICS
Click to edit Master title style Federal Health Care Expenditures vs. Other Programs Click to edit Master title style $1,200.00 $1,085.50 $1,000.00 $800.00 $756.90 $725.90 $660 $630.30 $626.20 BILLIONS $595.70 $600.00 $521.30 $504.20 $400.00 $200.00 $0.00 2016 2020 2024 Medicaid Defense Medicare 14
Click to edit Master title style Health Care Expenditures 2016-2024 Click to edit Master title style $2,000.00 $1,811.40 $1,800.00 $1,600.00 $1,433.30 $1,382 $1,400.00 $1,176.30 $1,200.00 BLLIONS $1,134.50 $1,085.50 $1,004.30 $1,000.00 $800.60 $800.00 $725.90 $630.30 $581.40 $600.00 $504.20 $400.00 $200.00 $0.00 2016 2020 2024 Private Insurance Medicare Medicaid Medicare and Medicaid 15 Source: https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountsprojected.html
Click to edit Master title style GROWTH IN MEDICAID THREATENS THE STATE BUDGET Click to edit Master title style Costs for long-term services and support will increase Source: Colorado Futures Center at Colorado State University 16
Click to edit Master title style REDUCING THE GAP BETWEEN COSTS AND REVENUE Click to edit Master title style • Adults 65 and older are among the most expensive Medicaid recipients. • account for 3% of those with Medicaid (fiscal year 2015-2016) • represent almost 17% of total Medicaid expenditures • Shifting to less expensive settings, such as home-based care, could significantly reduce state spending pressure. • If 20% of people projected to be served by skilled nursing were instead served through home and community-based services , there would be no funding gap in 2020, but a $5 million surplus instead. Source: State Costs and Revenue Related to Long-Term Care for Older Coloradans, Colorado Health Institute, November 2018 17
Click to edit Master title style Click to edit Master title style Needs are Growing DEMANDS FOR SERVICE INCREASING
Click to edit Master title style Current Calls in the AAA Click to edit Master title style Top Five Needs 1. Public Benefits 2. Advocacy/Navigation 3. Housing and Shelter 4. In home assistance 5. Transportation Advocacy Caregiver support Home repair/modification/chore In-home services Housing/shelter Long-term care Medicaid Medical Public benefits/Social Security Transportation
Click to edit Master title style Community conversations: Future services Click to edit Master title style 1. transportation older adults 2. quality health care 10. good insurance 3. financial security and 11. support when family is gone assistance 12. social activities 4. nutrition, meals and help 13. access to good doctors preparing meals 14. help finding services 5. house cleaning and yard 15. navigator and advocate service 16. technology training 6. hearing aids, vision care and 17. help with benefits glasses 7. quality housing 8. dentures and dental care 9. trustworthy people to work for
Click to edit Master title style Click to edit Master title style Opportunities HEALTH CARE
Click to edit Master title style Social Determinants of Health Click to edit Master title style Environment Economic neighborhood Stability Social Health Community Care Clinical care 10% Genes and biology Education 10% Social and economic factors 40% Physical environment 10% Health behaviors 30% 22
Click to edit Master title style WHY CONTRACT WITH AREA AGENCIES ON AGING? Click to edit Master title style • AAAs address social determinants of health by providing: • case management • care transitions • nutrition • home care • transportation • home modification • evidence-based programs • social engagement opportunities 23
EXPERIENCE: THE AREA AGENCY ON AGING … Click to edit Master title style Click to edit Master title style • is an existing network of service providers capable of addressing the social determinants of health • provides regional , state, national coverage • has 45+ years of experience with in-home and community-based services • offers services proven to lower health care costs • is leveraging its considerable experience , which includes: • Community Care Transitions Program • two-year business acumen certification course • Health South • UCHealth • Veteran-Directed Care • Denver Regional Accountable Health Community 24
Click to edit Master title style SUMMARY Click to edit Master title style • The older population is growing rapidly in Colorado. • The demand for AAA services is increasing. • Health care spending is becoming a unsustainable part of the state and federal budget. • AAA services can help reduce health care spending by providing community based services. • 2020 will bring opportunities to create new partnerships and funding sources for AAA services. • DRCOG and the AAA network wants to take advantage of those opportunities . 25
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