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• W785774080 abstract "How one nonprofit transitioned from being a traditional area agency on aging to becoming a competitor in the health and long-term-care marketplaces.t is a challenging time to be an area agency on aging (AAA). On the upside, AAAs continue to be well-connected community resources serving a growing market. Our mission is straightfor- ward and strong: To enable people to age in the setting of their choice, usually in their own home. On the downside, AAAs are faced with an ever-growing pool of older people to serve at a time when their traditional revenue streams are not keeping pace with market growth.Council on Aging of Southwestern Ohio (COA), the AAA serving five counties in the Cincinnati region, was incorporated as a nonprofit organiza- tion in 1971. In the mid-1980s, COA began admin- istering PASSPORT (Pre-Admission Screening System Providing Options and Resources Today), Ohio's Medicaid waiver for in-home care. The 1990s brought significant growth with the passage of county property tax levies to fund in-home services for older people in the community. The levies established programs in four counties to provide in-home care services to older adults who are ineligible for the Medicaid waiver (although almost all have modest incomes). The levies are an unusually strong demonstration of communi- ties investing in care for their elderly residents. COA administers the programs via contracts with county commissioners. Through home- and community-based tax levies and Medicaid waiver programs, COA served nearly 20,000 people in fiscal year 2013.Despite this success, COA recognized the many changes that were occurring in the tra- ditional network of aging services, and began a change process in 2005 and 2006 by developing a strategic plan with input from stakeholders. The plan was broad, ambitious, and focused on trends. Among other goals, the plan calls for COA to continually raise its public profile, position the organization to compete in the health and long-term-care marketplaces, and be prepared to meet the changing needs of the target populations.Suzanne Burke, COA's chief executive officer, sums up the organization's philosophy: Saying 'we've been in business 40-plus years' doesn't get you anywhere these days. We had developed an entitlement mentality and so had many of our providers. That will not work in the present environment. We must compete to keep the business we have and others will have to com- pete to do business with us.To enact the plan, COA took calculated risks and continues to do so. Even the concept of having to compete for business was new and a bit frightening to many in the organization. To provide a foundation for change, however, COA had advantages that, unfortunately, are not shared by all area agencies on aging. With levy-funded programs, plus Medicaid waivers, COA can reach a good segment of the in-home care market, leverage economies of scale, and develop and manage a provider network accord- ing to the rules of the marketplace (for the levy-funded programs).The organization already had begun certain culture shifts, such as telecommuting and pay- for-performance, but with a goal of competing in the health arena it became imperative to heighten these innovations. In part because of the Affordable Care Act, there are opportunities for AAAs to offer services that can help health systems provide better care at a lower cost to produce better health outcomes-key aims of today's healthcare industry.Burke notes, Healthcare reform and the increasingly competitive market have brought many more entities into the long-term services and supports arena, including large, well- financed organizations such as hospital networks and health [insurance] plans. They believe they can provide the same care management and care coordination products we've been delivering, and which were largely our role, for the Medi- caid population.To better position itself to both compete and partner with these organizations, COA set about expanding the initiatives in its strategic plan. …" @default.
• W785774080 created "2016-06-24" @default.
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• W785774080 date "2014-07-01" @default.
• W785774080 modified "2023-09-28" @default.
• W785774080 title "Surviving and Thriving in the New World of Aging Services" @default.
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