Profiles of Independent Living Across the States: How does Ohio Measure up

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Profiles of Independent Living Across the States
How does Ohio Measure up?
Jane Taylor Director AARP - Ohio
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Fast Facts AARP

• AARPs mission is to enhance the quality of
  life for all as we age, leading positive social
  change and delivering value to members through
  information, advocacy and service. AARP
  believes strongly in the principles of collective
  purpose, collective voice, and collective
  purchasing power, and these principles guide all
  organization efforts.
• Non-Profit
• Non-Partisan
• AARP 50 years old, membership 50 years old
• Helps people 50 and over improve the quality of
  their lives.
• 40 million members and has offices in all 50
  states, the District of Columbia, Puerto Rico and
  the U.S. Virgin Islands
• Ohio has 1.6M members
• ½ of members in workforce
• Volunteers
• Social Impact/Research/Foundation.

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Objectives

• Understand the measures of independent living
  across the states
• Examine how Ohio ranks according to these
  measures
• How these measures are influencing policy at the
  state level

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Key Measures

• Population Level Measures
• Medicaid Spending Measures
• Balance of LTC spending between HCBS and nursing
  facility care

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Population Level Measures

• Ohio is a large state
• Baby boomers are expected to cause increases in
  almost all groups over the years
• Age group 50-64 to decrease over this time period

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Population Level Measures

• Ohio ranks 7th in overall population and will
  rank 9th by 2030
• Population 50-64 decreasing
• Greatest change is in 65-74 (57) as boomers
  age
• The population age 85 or olderthe age group that
  is most likely to need long-term care servicesis
  growing at a dramatic rate. Ohio with a 45
  increase ranks 21/22

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Diversity

• The older population is more racially and
  ethnically diverse than ever before
• By 2030 29 of Americans 65 will be people of
  color.

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Socially

• One out of every five people age 65 lives in
  rural, non-metropolitan areas
• Less than one out of five (19) people age 65
  has a bachelors degree or higher.
• One-third of people age 75 live alone,

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Financially

• Roughly one-half (51) of people age 65 have
  incomes at or below 300 of poverty (about
  30,000 for a single person over age 65 or
  38,000 for a family of two)
• an income level that makes them financially
  vulnerable and
• unlikely to be able to afford to pay for
  long-term care services out-of-pocket

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Caregivers

• Family caregivers are the main providers of
  long-term care services in all states.
• Economic Value of Family Caregiving in 2007
• 375 billion U.S
• 14.2 billion Ohio

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Spending Measures Medicaid
Primary Payer for Nursing Facility Services in
Ohio, 2007

• Medicaid is a major payer of LTC services
• Ohios Medicaid Budget is over 13 billion
• Ranks 6th on Medicaid expenditures

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Balance MeasuresHCBS nursing facility Care
Medicaid Long-term Care spending for older people
and adults with disabilities in Ohio and the
U.S., 2007
United States
Ohio
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Balance MeasuresHCBS nursing facility Care
Nursing Facility Residents per 100 age 65 United
States and Ohio 2007
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Balancing Measures HCBS nursing facility care
Nursing Facility Residents per 100 age 75 United
States and Ohio, 2007
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Using these measures What AARP is doing

• Surveys - Many older people would rather stay in
  their homes and communities than be in a nursing
  facility
• PASSPORT/AL Increases - of participants of
  Medicaid receiving HCBS increased by 24 from
  1999-2004
• Participants receiving care in a nursing facility
  only increased by 6 from 1999-2004
• Unified Budget for Long Term Care

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Policy Implications

• LTC as part of federal health reform
• Care Coordination
• Education/Assessment/Consultations
• Re-balance LTC spending Unified System
  Consumer driven
• Financing other than Medicaid
• Housing options
• Define role of nursing homes
• Workforce
• Caregiver Support
• Economic Security
• Prevention
• Status of State Budget through economic crisis

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AARP OHIO

• www.aarp.org
• www.aarp.org/oh
• www.aarp.org/research/PPI