On Tuesday, March 24, 2017, Jennifer Windh and Anne Tumlinson presented at the American Society on Aging’s Aging in America Conference in Chicago alongside Francine Pechnik, Vice President of Long Term Care at UnitedHealthcare Community Plan, and Amy Scribner, Division Director of Community Living Services at the Institute on Aging, around LTQA case studies of successful programs that integrate LTSS and medical care.
Meeting the Needs of Older Adults with LTSS Integration: Case Studies of Successful Programs
A small but growing number of forward-thinking health plans and provider-sponsored organizations address the full needs of their members by integrating LTSS with medical care. These programs combine the resources from Medicaid, Medicare, and private families to provide the individualized set of supports that an older adult with functional limitations needs to remain healthy and independent with a high quality of life. The core of successful LTSS integration is a robust, person-centered approach to care management that identifies a person’s needs and is then able to coordinate a flexible set of resources to meet those needs.
Programs that integrate LTSS improve healthcare outcomes and quality of life, and—especially for the highest risk individuals— have the potential to lower costs through decreased hospital and nursing home utilization. In this session, presenters described some of the strategies programs have used to achieve LTSS integration and the outcomes they have achieved.