It Takes YOUR Community


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8:30 - 9:00 am Registration

Continental breakfast will be available.

9:00 - 9:10 am Opening: Communities and the “Age Wave”
9:10 - 9:40 am Three Communities: What Are the Driving Factors?

This case study-style discussion will focus in on how the selected communities are actively working to partner with health care providers who are serving Medicare and Medicaid beneficiaries, and how the community-based organizations (CBOs) they represent and others they interact with are expanding their capacity to provide LTSS to rising numbers of older adults living in the area.

  • Western New York Integrated Care Collaborative: Ken Genewick will highlight collaborative activity in the development of an integrated care network in Western New York to build coordinated delivery of services across geographic areas that are significantly larger than those traditionally served by county-based Area Agencies on Aging and partnering community-based organizations (CBOs).

  • Ft. Wayne IN: Connie Benton Wolfe will tell the story of the growth and evolution of Aging & In-Home Services of Northeast Indiana (AIHS), including its partnership with Population Health Logistics (PHL).

  • Pueblo of Zuni: Karen Leekity will discuss a wide range of eldercare services in Zuni Pueblo that are organized under one umbrella led by the Senior Center, which organizes supportive services for local Elders. These include an adult day care center for older adults with dementia, coordination and collaboration of services financed through the Indian Health Service (IHS), a Federally Qualified Health Center, home health services, local tribal services, and Medicaid, Medicare and the Older Americans Act.

9:40 - 9:55 am Q & A
9:55 - 10:40 am The Role of the Federal Government in Supporting Community-Anchored Care

ACL Principal Deputy Administrator Mary Lazare, and senior staff members Marisa Scala-Foley and Vicki Gottlich will respond to what communities discussed in the previous panel. They will also broadly review major initiatives at ACL with regard to the Business Acumen initiative, current and pending Learning Collaboratives, population health persepctives, HCBS service delivery design and more. Mike Nardone, Director of Disabled and Elderly Health Programs at CMS, will be providing key perspectives on advances and trends in home and community-based services delivery.

10:40 - 10:55 am Q & A
10:55 - 11:10 am Break
11:10 - 11:55 am Panel Discussion: Drilling Down

Discussion will be led by Sandy Markwood, CEO of the National Association of Area Agencies on Aging; Brenda Schmitthenner, Program Officer and Senior Director, Gary and Mary West Foundation; Jean Accius, Vice President, Independent Living, AARP.

What are some of the important and common threads in the work that the 3 communities highlighted? What are other communities doing? Possible discussion points include:

  • Are communities trying to define particular populations of older adults that need a mix of medical and LTSS services today? Are some doing projections of future demand? Are they attempting to identify individual older adults in the area who need a mix of services and developing methods for comprehensive care planning?

  • What are the federal government’s abilities to strengthen communities?

  • Are communities tracking gaps in social services and supports sector and in health care services, and creating strategies to address them? Is this being done on a population health basis, meaning across a geographically defined area?

  • What role can Medicare innovation play in facilitating the adaptation of existing models and programs in order to help generate savings that will help communities sustain services for expanding elderly populations?

  • With regard to Medicaid, what policies at the federal level, and at the state level, would be useful in helping communities deploy outstanding eldercare systems? How can Medicaid reform strengthen the Aging Network, and vice versa?

  • What’s up and coming in IT development? What are some of the leading ideas about the type of IT infrastructure that communities are building, or thinking of building? What role could the patient and family caregiver play in care planning?

11:55 - 12:10 pm Break
12:10 - 12:45 pm Financing Projections by Communities and Getting a Handle on Services and Costs: How You Can Approach This as a Community Planning Initiative

Antonia Bernhardt (Dept. of Veterans Affairs) and Jim Lee (Altarum) will discuss how communities can plan for and develop cost projections for community-anchored eldercare systems. The speakers will walk attendees through how to approach financial planning for a potential eldercare community system in their area, using as a basis the financial simulation model published in the Milbank Quarterly in 2016. Moderated by Anne Montgomery, Altarum.

12:45 - 1:20 pm Where Can Communities Go To Find Some Money to Get Started?

Community investment experts: Robert Jenkens, National Cooperative Bank; Sandy Atkins, Partners in Care Foundation; Karen Kali, National Community Reinvestment Coalition;  and Abigail Suarez, Capital Impact Partners. How can communities work with local leaders and investors, health care and social services providers, and other interested experts and advocates, to raise start-up funds for community-anchored eldercare systems? What are potential sources of creative financing, i.e., Pay for Success, social impact bonds and grants?

1:20 - 1:30 pm Leveraging Action

How can we link community desires and goals to create better and more reliable eldercare systems in a way that complements ongoing adapatations of key federal programs, such as Medicare, Medicaid and the Older Americans Act? Sarah Slocum, Altarum.

Download a copy of this agenda (pdf)