Efforts to Enable Americans to Age in Place are Expanding, Survey Shows
The Washington Post; Fredrick Kunkle, 11/1/2014
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A new survey of hundreds of federally sponsored local agencies that assist aging Americans has found increased efforts to help the elderly remain in their homes as they grow older, a policy known as aging in place.
A听by the National Association of Area Agencies on Aging found that more than 70 percent of local service providers now offer programs to help people find alternatives to nursing homes or other institutional care. That鈥檚 up from less than a third in 2008, the survey said.
The increased focus on seeking alternatives to institutional care comes as the United States undergoes a dramatic demographic shift toward an older population. One response has been the rise of grass-roots efforts听, such as 鈥,鈥 designed to meet the听
The survey of 618 agencies also found that their role has expanded to meet the federal Affordable Care Act鈥檚 goal of reducing the nation鈥檚 medical expenses by minimizing repeat hospital admissions. The survey, which was released Wednesday, suggests that the agencies have become key players in the ACA鈥檚 Care Transitions Program, which is designed to reduce costs by improving follow-up care for Medicare beneficiaries after their discharge from the hospital.
Local aging agencies, increasingly in partnership with private health-care companies and managed-care providers, now devote more efforts to ensuring that those patients remain healthy听. Their intervention might be as simple as听who have been hospitalized for repeated falls to remove hazards.
鈥淲e鈥檙e seeing hospital readmissions being of high priority,鈥 said Mary Kaschak, a senior program manager at the association who led the survey. 鈥淥ne, it鈥檚 a huge expense. And two, consumers and patients don鈥檛 want to go into the hospital continuously. So what Area Agencies on Aging are doing is providing that support at home.鈥
The survey also found that the agencies now serve a broader population than ever, including offering services for veterans and people under 60 who are disabled or chronically ill.
Area Agencies on Aging are part of a nationwide network of providers set up by the Older Americans Act, a landmark law enacted in 1965 to provide financing for a range of services for the elderly.
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