The he Capac apacity ity of of th the Ag e Aging ng Service - - PowerPoint PPT Presentation

The he Capac apacity ity of

• f th

the Ag e Aging ng Service vices s Netw twork:

• rk:

Top

• p 10 Thi

hings ngs to to Kno now w fo for Reautho uthorization rization

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1965 1965 OAA, Medicare, Medic dicaid 1972 1972 SSI, Congr gregat gate Meals 1973 1973 AAAs enacted ted 1975 1975 SSBG 1981 1981 Medic dicaid d Waive ver 1987 1987 LTC Ombuds dsma man 1990 1990 Americans with th Disabil biliti ties Act 1992 1992 Elder der Righ ghts ts title added 1999 1999 Olmstea tead d Decision

• n

2000 2000 Family y Caregi giver 2005 2005 Medic dicare Part t D Enrol

• llmen

ment t Begi gins 2006 ADRC, C, Health th Promotion motion, Nursing g Home Diversion

• n

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Total Spending $3.8 Trillion

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Source: Office of Management and Budget data, President's FY 2010 Budget

AoA State Units

• n Aging

Area Agencies on Aging Title VI Native American Aging Programs Service Providers Volunteers Family Caregivers

56 244 0ver 30,000 Over 500,000 629

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millions

The age wave has begun.

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Source of charts: U.S. Census Bureau, “65+ in the United States: 2005,” December 2005.

2000 2020

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10 20 30 40 50 60 70 80 numbers in millions 1900-2030

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The characteristics of the population served by the Aging Services Network continue to diversify, with nearly two-thirds of states and AAAs serving both the elderly and physically disabled younger adult populations regardless of age.

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14% 64% 22% 60 years of age and

• lder population
• nly

60 years of age and

• lder population

and disabled population regardless of age

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Federal funding continues to decline despite growth in the number of eligible Americans.

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2% 20% 22% 56% Less than $1 million Between $1 and $25 million Between $26 and $50 million More than $50 million

Average of 30%

• f SUA budget

is OAA funding

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 Average Budget:

$ 7.5 million

Lowest Quartile: $ 2.0 million Second Quartile: $ 3.8 million Third Quartile: $ 8.7 million

 Average Percent of Budget from OAA: 40.4

Lowest Quartile: 21.5 Second Quartile: 36.0 Third Quartile: 56.0

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Although funding from the Administration on Aging has not kept pace with the numbers of individuals 60 plus, states, the Area Agencies on Aging and the other network partners have successfully leveraged federal funding.

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AoA provides seed funding and

• versight

States add states’ share of federal funds, provide additional state-only support and distribute funds AAAs add local funding and support and purchase services Providers add additional support and in- kind contributions and deliver services Volunteers lend time and support

For every $1 in federal funding, state and local agencies on aging acquire more than $2 in

• ther funding

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Aging Services Network

OAA OAA Medi dicai caid Stat ate- Only y Fundi ding ng Targ rgete ete d Tax/ x/ Lottery ttery Privat ate Fundi ding ng Other er Federa eral Fundi ding ng Local cal Govt vt Fundi ding ng Fami milies es

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0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Older Americans Act Medicaid State appropriation Local (i.e., county or city) funding Targeted tax State lottery Foundation/private grants Percent of States 18

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The Aging Services Network continues to develop a comprehensive strategy of services for long-term services and supports for all Americans of all ages and abilities that can help bend the cost curve on entitlements.

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• National Family Caregiver
• Lifespan Respite Care
• Alzheimer’s Disease
• Native American Caregiving Support Program

Supporting Family Caregivers

• Information and Referral, Case Management
• Home Delivered, Congregate, and Native American Nutrition
• Personal Care, Homemaker Assistance, Adult Day Care
• Transportation

Maintaining Health and Independence

• Long-Term Care Ombudsman
• Prevention of Elder Abuse and Neglect

Protecting Vulnerable Older Americans

• Aging and Disability Resource Centers, Evidence Based Disease Prevention, Community

Living Incentives

• Program Innovations
• Aging Network Support

Supporting the National Aging Network Services

• Seniors Community Service Employment for Older Americans Program

Employing Senior Workers

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Long-Term Care Planning by AAAs

15.6 33.4 65.2 69.4 69.6 84.2 89.9 94.1 10 20 30 40 50 60 70 80 90 100 Participation in AoA "Own Your Future" campaign Options counseling through an ADRC Information about long-term care insurance Elder rights education Options counseling through other services such as case management Information about establishing legal directives such as living wills Outreach and educational presentations Information about and referral to long-term care services

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0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Quality for institutional services Regulation of home and community based providers Financing Eligibility determination Quality for home and community based services Planning and development of policy

Percent of States 25

46% 14% 40% Yes No My state is in the process of making changes to achieve this goal.

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The Aging Services Network is evolving towards more consumer-driven activities.

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5 10 15 20 25 30 In OAA programs Medicaid HCBS State funded HCBS Number of States 28

Percentage of AAAs who provide consumer-directed options in the following services.

Respite Care 26.0 Personal Care 25.3 Homemaker 23.5 Family Caregiver Support Program 22.6

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The Aging Services Network is providing evidence-based health promotion and disease prevention programs that allow older adults and individuals with disabilities to remain in their homes and communities.

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0% 10% 20% 30% 40% 50% 60% 70% 80% 90% A Matter of Balance Chronic Disease Self-Management EnhanceFitness EnhanceWellness Healthy IDEAS or PEARLS Medicaid Management Improvement System Percent of States 31

Over half (55.6%) of AAAs are involved in providing evidence-based programs to prevent/manage chronic disease or disability.

Most common-

• Chronic Disease Self-Management Program
• A Matter of Balance
• EnhanceFitness
• EnhanceWellness

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States and Area Agencies on Aging are encouraging the development of livable communities for all ages--the development

• f services and infrastructure to assist

people across their lifespan - through planning initiatives and partnerships.

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 Housing  Health  Transportation  Land Use Planning  Public Safety  Parks and Recreation  Workforce Development/Education  Volunteerism/Civic Engagement  Arts and Cultural Activities  Economic Development/Fiscal Impact

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States and communities continue to face extraordinary pressure due to the economic decline.

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Strengthen core OAA functions and infrastructure to build on proven best practices to create a system that empowers and facilitates consumer choice, from private pay to Medicaid, while building on and complementing the energy

• f a growing aging service industry.

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 Build on 40 years of Experience as Trusted

Resource

 Build on Track Record of HCBS  Build on Momentum & Success of

Demonstration Grants

 Build on Reach of Network to Serve Broad &

Diverse Populations

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 Budget Crisis / Stagnant Funding  Need for Staff  Increase Technology Investment  Aging Baby Boomers

Martha Roherty Executive Director NASUA 1201 15th Street, NW Suite 350 Washington, DC 20005 202-898-2578 www.nasua.org mroherty@nasua.org Sandy Markwood CEO n4a 1730 Rhode Island Avenue, NW Suite 1200 Washington, DC 20036 202-872-0888 www.n4a.org smarkwood@n4a.org

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