Developing Healthy Housing for Seniors

The aging population will increase future demand for LTSS By 2055, there will be almost 90 million people aged 65+ Those age 75+ (heavier users of LTSS) will represent close to half of that number By 2055, there will be almost 90 million people aged 65+ Those age 75+ (heavier users of LTSS) will represent close to half of that number Projected Number of People Age 65 or Older by Year Projections of lifetime risk of long-term services and supports at ages 65 and older under current law from DYNASIM, June 8, 2015, Urban Institute

The national caregiver dilemma 1/2 as many caregivers will be available in 2050 ½ as many caregivers will be available in 2050 While the number of older people is going up, the number of people to care for them is decreasing. The supply of potential caregivers is not going to keep pace with the future need ½ as many caregivers will be available in 2050 Extra information: 1990 to 2010-Was marked by boomers aging into prime caregiving years 2010-2030- Will be a period of transition as boomers age into old age and are not replaced with younger potential caregivers 2030-2050-Remaining boomers age into high care risk ages of 80+ Ratio of Potential Caregivers to Those Needing Care1 1. Ratio of # people in most common caregiving age ( 45-64 ) to those at most risk for needing care (80+) AARP PPI “The aging of the baby boom and the growing care gap: A look at future declines in the availability of family caregivers

56% of Americans Have Less Than $10,000 Saved for Retirement The GoBankingRates survey was conducted as three Google Consumer Surveys, each targeted at one of three age groups: millennials, Generation Xers, and baby boomers and seniors. Each age group was asked the same question, “By your best estimate, how much money do you have saved for retirement?” Respondents could select one of the options as displayed below: Less than $10K $10K to $49K $50K to $99K $100K to $199K $200 to $299K $300K or more I don’t have retirement savings. GoBankingRates analyzed the survey results to reveal key insights into how Americans of all ages are saving for retirement. Whether due to various economic factors or not correctly prioritizing finances, many people are not on track to have enough money to cover their expenses during retirement.

Average LTSS expenditures at an individual level LOTTERY WINNER!!!! LOTTERY LOSER  For individuals, on average, people turning age 65 over the next five years who ultimately experience high need LTSS can anticipate incurring costs over their lifetimes of approximately $138,000. Because their needs are greater and will last longer, the cost for women’s care will be significantly higher ($180,000) than that for men ($90,000). 1 in 7 people will have long duration LTSS lasting 5 years or more and resulting in costs of $250,000 or more. Note: These numbers include all people over 65 whether or not they have LTSS needs. If only users of high need were reflected in this chart rather than all people over 65, the expenditures would double. Additionally, these numbers assume that an individual has this much money in savings at the time of retirement and the money will earn interest over time. We know this is unlikely given current savings and assets for retirees, so this means people will need more money for LTSS than reflected here because they won’t be earning interest on their savings. HHS ASPE Issue Brief: LTSS for Older Americans: Risks and Financing July 2015. http://aspe.hhs.gov/sites/default/files/pdf/106211/ElderLTCrb_0.pdf HHS ASPE Issue Brief: LTSS for Older Americans: Risks and Financing July 2015.

Average LTSS expenditures at an individual level For individuals, on average, people turning age 65 over the next five years who ultimately experience high need LTSS can anticipate incurring costs over their lifetimes of approximately $138,000. Because their needs are greater and will last longer, the cost for women’s care will be significantly higher ($180,000) than that for men ($90,000). 1 in 7 people will have long duration LTSS lasting 5 years or more and resulting in costs of $250,000 or more. Note: These numbers include all people over 65 whether or not they have LTSS needs. If only users of high need were reflected in this chart rather than all people over 65, the expenditures would double. Additionally, these numbers assume that an individual has this much money in savings at the time of retirement and the money will earn interest over time. We know this is unlikely given current savings and assets for retirees, so this means people will need more money for LTSS than reflected here because they won’t be earning interest on their savings. HHS ASPE Issue Brief: LTSS for Older Americans: Risks and Financing July 2015. http://aspe.hhs.gov/sites/default/files/pdf/106211/ElderLTCrb_0.pdf HHS ASPE Issue Brief: LTSS for Older Americans: Risks and Financing July 2015.

Medicaid is beginning to crowd out other expenditures in state budgets This is shifting allocation of state funds. For example, Medicaid has surpassed K-12 education as the largest expenditure item in state budgets Note: Figures are for total state expenditures, including both general fund spending and federal funds Source: National Association of State Budget Officers (NASBO), State Expenditure Report, 2010

WHAT CAN WE DO?

WHAT CAN WE DO? Educate congress Federal policy solutions State policy solutions

WHAT CAN WE DO?

Bipartisan Policy Center Report Henry Cisneros, former HUD secretary Mel Martinez, former HUD secretary, former U.S. senator Allyson Y. Schwartz, former U.S. representative Vin Weber, former U.S. representative

Health Begins at Home: The Overriding Need for More Affordable Supply Recommendation #1 Health Begins at Home: The Overriding Need for More Affordable Supply

Why is affordable housing so important? Expenditures by type, age 65 and above (2013) *Percentage of income

Why is affordable housing so important? Housing expenditures, age 65 and above (2013) *Percentage of income Housing 25% 18% Owner 43% Renter 74% Low Income Renter 0% 25% 50% 75%

Continue to… Build Affordable Housing Acquire Affordable Housing Build Conventional Housing

Aging with Options: Transforming Our Homes and Communities Recommendation #2 Aging with Options: Transforming Our Homes and Communities

Age-Friendly Columbus is Supported by…..

Integrating Health Care and Supportive Services with Housing Recommendation #3 Integrating Health Care and Supportive Services with Housing

The Power of Technology to Support Successful Aging Recommendation #4 The Power of Technology to Support Successful Aging text

The Power of Technology to Support Successful Aging Recommendation #4 Text The Power of Technology to Support Successful Aging text

EVP – Strategic Initiatives and Ext Affairs Michelle Norris EVP – Strategic Initiatives and Ext Affairs mnorris@nationalchurchresidences.org