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Wisconsin’s “Elder Boom” Kitty Rhoades, Secretary Department of Health Services.

Published byAngela Rice Modified over 9 years ago

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Presentation on theme: "Wisconsin’s “Elder Boom” Kitty Rhoades, Secretary Department of Health Services."— Presentation transcript:

1 Wisconsin’s “Elder Boom” Kitty Rhoades, Secretary Department of Health Services

2 Wisconsin’s Aging Population - 2015

3 Wisconsin’s Aging Population - 2035

4 Pay Sources for Long-Term Care Medicaid: 42% Medicare: 25% Private Pay – Out of Pocket: 22% – Private Insurance/Other: 11%

5 SFY 2012 Medicaid Costs for Individuals Relocating from a Nursing Home to a Home- or Community-Based Setting Ave. Institutional Costs per Day Ave. Community Costs per Day Ave. Daily SavingsAnnual Savings $143.78 $110.38 $33.40$1,082,227 Aging Population Projections 2005201020152020202520302035 726,280 782,810900,1701,060,6201,234,6001,402,9001,485,570

6 Wisconsin Medicaid Long-Term Care Programs Fee-For-Service Nursing Home – Statewide Legacy Waiver Home- and Community-Base Services – 15 counties Managed Long-Term Care Programs (e.g. Family Care): nursing home and home- and community-based services – 57 counties IRIS: self-directed home- and community-based services – 57 counties

7 Strategies to Control Costs Aging and Disability Resource Centers Reduce Nursing Home Utilization Reduce Need for Higher Cost Services – Medication Compliance – Dementia Care – Falls Prevention – Employment/Vocational Programs – Residential and Natural Supports Reduce Administrative Burden on MCOs IRIS Initiatives

8 Controlling Future Cost Growth: Capabilities of Managed Long-Term Care Payment structure that drives Managed Care Organizations to continuously improve and provide the most cost-effective care. Equal access to long-term care services in an individual’s home, community-based settings, or nursing homes, which assures that the level of service matches a member’s needs Efficiencies from MCO-developed regional and comprehensive provider networks that increase the variety of services available to member at negotiated, competitive rates.

9 Conclusion Family Care, and the entitlement of support in homes and community-integrated settings, allows Wisconsin residents to receive cost- effective long-term supports. Managed long-term care is the most effective strategy to meet the needs of Wisconsin’s residents.

10 Thank You

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