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AAA Trends and New Directions Findings from 2013 AAA Survey

AAA Trends and New Directions Findings from 2013 AAA Survey. ACL Webinar May 21, 2014 Mary Kaschak, National Association of Area Agencies on Aging Suzanne Kunkel, Scripps Gerontology Center, Miami University. Information and Planning: Understanding the Capacity of the Aging Network.

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AAA Trends and New Directions Findings from 2013 AAA Survey

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  1. AAA Trends and New DirectionsFindings from 2013 AAA Survey • ACL Webinar • May 21, 2014 • Mary Kaschak, National Association of Area Agencies on Aging • Suzanne Kunkel, Scripps Gerontology Center, Miami University

  2. Information and Planning: Understanding the Capacity of the Aging Network • AoA/ACL grant to n4a; subcontract to Scripps • Surveys in 2007, 2008, 2010, 2013 • Surveys are designed to assess the evolving role of Area Agencies on Aging in a balanced long-term care system

  3. Highlights • Shift vs. Drift • Decreases in traditional funding sources has led to more AAAs diversify their funding • Over time, AAAs have been serving broader populations • Prior to ACA, AAAs were already becoming more involved in evidence-based programs and transition/diversion programs • ACA provided AAAs with new and expanded opportunities for involvement in integrated care initiatives • Requested TA continues to focus on business acumen and sustainability

  4. Survey Process • Core items across all four surveys, but revisions and new items as the landscape of aging services has change • Mini surveys on special topics (emergency preparedness, elder abuse and elder justice, bridges to medical community) • Reports available on Scripps website (www.scrippsaging.org)and n4a website (www.n4a.org) • 2013 response rate: 63%

  5. Structure **Part of a Council of Governments or Regional Planning and Development Area.

  6. Budget (2008-2013) • The proportion of AAAs’ budget that comes from the Older Americans Act has remained constant (median= 35%, all years) • The proportion of AAAs’ budget from Medicaid has increased every year • The average AAAs’ budget has remained relatively stable over time (-3.6% between 2008 and 2013)

  7. Diversifying Funding Sources

  8. Funding Changes from Selected Sources (over previous two years)

  9. Groups Served by AAAs (2010-2013)

  10. Proportion of AAAs Serving Consumers in Addition to those 60+ (among those who offer the services)

  11. Common Services AAAs Provide (2013)

  12. Proportion of AAAs Involved in Development of Livable Communities (2013)

  13. Proportion of AAAs Offering Services to Address and Prevent Elder Abuse (2013)

  14. Services Related to Health Care Delivery (2013)

  15. Services in Select States (2013)

  16. Major Themes • Variability • Vulnerability • Adaptation • Transformation

  17. Innovative Health Care Delivery • Significant Growth in Involvement in Evidence-based Health Programs • 2007 – 53% • 2013 – 90.5% • In 2013 55.2% of AAAs were involved in at least one integrated care initiative • In 2013 24.6% of AAAs were involved in a CMS 3026 Community-based Care Transitions Program (CCTP) • In 2013 30.9% of AAAs were involved in planning or implementing Medicaid Managed Care • In 2012 only 16% of AAAs were involved in MMC activities • This represents a 116% increase in the number of AAAs involved in Medicaid Managed Care

  18. AAAs Growth in Involvement in Evidence-based Health Programs

  19. Services AAAs Provide Under 3026 Contract (2013)

  20. Medicaid Managed Care • 49 states are enrolled in either • a voluntary (waiver) Medicaid managed care system (28 states) or • have had a state plan approved by CMS (21 states) • The average AAA that is involved in MMC is working on or implementing 5.9 activities related to managed care • Nearly 25 percent of actively involved AAAs are planning or implementing 10 or more activities • In 2013 AAAs formed integrated partnerships with an average of 4.8 entities to deliver their managed care activities

  21. Medicaid Managed Care Services AAAs Provide (2013)

  22. Partnerships AAAs Have Formed to Deliver Medicaid Managed Care Services (2012-2013)

  23. AAAs Involvement in Integrated Care

  24. Innovative Care in Select States

  25. AAA Strategies for Business Development and Sustainability

  26. AAA Involvement in Business Practices ***In previous surveys, this question permitted respondents to include satisfaction as a consumer outcome.

  27. AAAs Receiving Private Pay Funding for Specific Services

  28. Training and Technical Assistance

  29. Future Directions & Opportunities? • Older Americans Act Services • Private Pay Consumers • Integrated Care & Healthcare Partnerships

  30. Contact Mary Kaschak Senior Program Manager, Capacity Building National Association of Area Agencies on Aging (n4a) mkaschak@n4a.org Dr. Suzanne Kunkel Director Scripps Gerontology Center Miami University kunkels@miamioh.edu

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