1. 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 Group July 17, 2014

2. www.TheSCANFoundation.org Key Take-Home Messages 1.Redefining the problem: Patients  people 2.TSF’s strategic framework: A path forward 3.LTC financing: Shaping a solve

3. www.TheSCANFoundation.org http://www.cdc.gov/nchs/data/nvsr/nvsr62/nvsr62_06.pdf 1900 49 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 2010 1.Heart disease 2.Cancer 3.Chronic lung diseases 4.Stroke 5.Accidents 6.Alzheimer’s Disease 7.Diabetes 8.Nephritis 9.Influenza and Pneumonia 10.Suicide 1910 1.Heart disease 2.Influenza and Pneumonia 3.Tuberculosis 4.Diarrhea/intestinal diseases 5.Stroke 6.Nephritis 7.Accidents (ex. motor vehicle) 8.Cancer 9.Premature birth 10.Senility Changing times, changing focus

4. www.TheSCANFoundation.org 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 Impairment 1 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. www.TheSCANFoundation.org Redefining the problem…

6. www.TheSCANFoundation.org Structural lag…

7. www.TheSCANFoundation.org The last mile… Page 21

8. www.TheSCANFoundation.org Measuring “last mile” breakdown

9. www.TheSCANFoundation.org Smattering of work to date

10. www.TheSCANFoundation.org Patients  People

11. www.TheSCANFoundation.org Integrate care and financing for Medicare- Medicaid eligible individuals California tracking efforts Measuring quality Advocacy engagement Policy solutions Communications Goal #1: Duals integration

12. www.TheSCANFoundation.org 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

13. www.TheSCANFoundation.org LTC financing: Shaping a solve

14. www.TheSCANFoundation.org Increase the range of viable long-term care financing solutions Financial modeling Policy recommendations Communications Goal #3: LTC financing

15. www.TheSCANFoundation.org Goal 2 Goal 3 Goal 1 Relating goals to various populations

16. www.TheSCANFoundation.org The real policy goal…

17. www.TheSCANFoundation.org 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. For more information and to subscribe for email alerts, please visit us at www.TheSCANFoundation.org Follow us on Twitter @TheSCANFndtn Find us on Facebook The SCAN Foundation