Report Finds Systemic Gaps in Michigan in Safety & Quality and Affordability & Access
AARP’s new Long-Term Services and Supports (LTSS) Scorecard finds that more than three years after the COVID-19 pandemic began, care provided in the United States for older adults and people with disabilities is painfully inadequate. The report finds that major gaps persist in every state, including Michigan, especially related to the cost of in-home care and the cost of nursing homes.
Ranking #31 in the country, Michigan has made some progress in improving care options for older adults, including choice of settings and providers. However, the report shows there is still much more to be done to keep up with the rapidly changing needs of an aging population.
“The pandemic reinforced the need to strengthen long-term care for countless loved ones across the country, including in Michigan,” said Paula D. Cunningham, AARP State Director. “AARP’s Scorecard shows that there are many ways to meet the needs of Michiganders who deserve the very best care, including the 1.73 million family caregivers in our state. It’s time to accelerate our efforts, for the sake of saving more lives.”
Additional key findings from the report include:
Home and Community-Based Services
Nursing Homes and Institutional Care
“COVID-19 tested our long-term care systems, and they failed. Now is the time to take the lessons we’ve learned to fix them, for the sake of saving lives,” said Susan Reinhard, Senior Vice President, AARP Public Policy Institute. “AARP’s LTSS Scorecard shows some progress and innovation, but there’s still a long way to go before we have systems that allow people to age well and independently for as long as possible and support the nation’s 48 million family caregivers. It’s also clear some emerging issues deserve more attention – from whether nursing homes are prepared to confront natural disasters, to whether they have plans in place to maintain and grow their workforces.”
Key recommendations from the report and AARP to strengthen support for long-term care and aging at home:
The Scorecard includes a series of 50 indicators focused on 1) affordability and access; 2) choice of setting and provider; 3) safety and quality; 4) support for family caregivers; and 5) community integration, using data from a variety of publicly available sources, such as the Centers for Medicaid and Medicare Services, American Community Survey, and Bureau of Labor Statistics.
The LTSS Scorecard is funded by AARP Foundation with the support of The SCAN Foundation, The Commonwealth Fund, and The John A. Hartford Foundation and has been updated every three years since 2011.
"Every person, regardless of where they live, their race, or their socioeconomic background, deserves long-term care that is accessible, safe, and prioritizes what matters most to them,” said Terry Fulmer, PhD, RN, FAAN, president of The John A. Hartford Foundation. “The Scorecard shows that there are significant regional and racial disparities in the care a person receives. State policymakers can and should take steps now to close the gap in access to quality care.”
"The LTSS Scorecard indicates progress in some state programs, but opportunities exist for both public and private sectors to enhance LTSS,” said Sarita A. Mohanty, MD, President and Chief Executive Officer of The SCAN Foundation. “Most older adults prefer home and community-based care that meets their needs, but it remains financially out of reach for many working-class families, particularly those who are part of the 'forgotten middle'. TSF is committed to identifying, highlighting, and elevating innovative policies and programs to ensure all older adults can age well in home and community."
“Equity is an essential component of high-quality health care, and is especially important in LTSS,” said Melinda Abrams, Executive Vice President, Programs, The Commonwealth Fund. “I am thrilled AARP was able to add race and ethnicity data for several indicators. This year and going forward, this new data will shed light on the experiences of people of color in LTSS and draw attention to individuals with the greatest need.”
To view the full Scorecard and state-by-state information visit www.ltsschoices.aarp.org.
For media inquiries: Careena Eggleston, firstname.lastname@example.org, 517-974-1768.
This story is provided by AARP Michigan. Visit the AARP Michigan page for more news, events, and programs affecting retirement, health care, and more.
Thursday, Dec 7, 2023 at 2:00 p.m. ET
The Venue by Eleven 11 Events, LLC
Monday, Dec 11, 2023 at 11:00 a.m. ET
Thursday, Jan 4, 2024 at 2:00 p.m. ET
The Venue by Eleven 11 Events, LLC