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Hispanics in Philanthropy;
Highlights data on aging Latinos/Hispanics, trends in the assets and needs of community-based organizations serving or that could serve older Latinos, and strategies for addressing gaps in supportive policies. Outlines best practices and recommendations.
Robert Wood Johnson Foundation;
The U.S. health care system suffers from a chronic malady -- the revolving door syndrome at its hospitals. It is so bad that the federal government says one in five elderly patients is back in the hospital within 30 days of leaving.Some return trips are predictable elements of a treatment plan. Others are unplanned but difficult to prevent: patients go home, new and unexpected problems arise, and they require an immediate trip back to the hospital.
But many of these readmissions can and should be prevented. They are the result of a fragmented system of care that too often leaves discharged patients to their own devices, unable to follow instructions they didn't understand, and not taking medications or getting the necessary follow-up care.
The federal government has pegged the cost of readmissions for Medicare patients alone at $26 billion annually, and says more than $17 billion of it pays for return trips that need not happen if patients get the right care. This is one reason the Centers for Medicare & Medicaid Services has identified avoidable readmissions as one of the leading problems facing the U.S. health care system and now penalizes hospitals with high rates of readmissions for their heart failure, heart attack, and pneumonia patients.
This report is being released in conjunction with the Robert Wood John Foundation's Care About Your Care initiative, which is devoted to improving care transitions when people leave the hospital. It looks at the issue of readmissions in two ways: by the numbers and through the eyes of the people who live them.
Robert Wood Johnson Foundation;
Summarizes findings from a June 2006 survey on Americans' views on government support for legal immigrant children and foster children, issues of community violence, and long-term care services, costs, and long-term care insurance.
Outlines the Community Living Assistance Services and Supports (CLASS) Act, which would create a voluntary national long-term care insurance program. Reviews public insurance programs in Europe and Japan and highlights lessons for U.S. policy makers.
This collection brings together evidence and insights about the millions of people who are denied access to palliative care and what organizations worldwide are doing to help them.
National Alliance to End Homelessness;
There is some troubling evidence that homelessness is beginning to increase among elderly adults. In addition, there are demographic factors -- such as the anticipated growth of the elderly population as baby boomers turn 65 years of age and recent reports of increases in the number of homeless adults ages 50 to 64 -- that suggest a dramatic increase in the elderly homeless population between 2010 and 2020. While the country's changing demographics may make this finding unsurprising, it has serious implications for providers of homeless services and should be deeply troubling to the policymakers that aim to prevent poverty and homelessness among the elderly through local and federal social welfare programs. This paper provides an assessment of the recent and projected changes in homelessness among the elderly and assesses the ability of public affordable housing programs to handle the projected growth in elderly persons at-risk of housing instability and homelessness.
Georgia Health Policy Center of the Andrew Young School of Policy Studies;
A survey of 800 Georgians over age 55 shows most Baby Boomers have done very little planning for their future long-term care needs. The survey was conducted in October 2006 by the Georgia Health Policy Center in support of Georgia's State Plan on Aging. The survey results highlight areas where state policies and programs might be needed to help the baby boom generation - and their families - plan for the years ahead.
Center for Economic and Policy Research;
Recent economic turmoil has led state and local governments to seek new paths to offset budget shortfalls. Among other things, one widely discussed policy option is state employee pension reforms. These proposals seek to cut pension benefits, and, moreover, to increase the retirement age. State and local government employees generally are able to access full retirement benefits at a lower age than most other American workers, for whom the current age for eligibility for full Social Security benefits is 66 (and which will rise to 67 by 2027). Policymakers, however, must not overlook the fact that a large share of public sector workers are in physically strenuous jobs. If the retirement age were increased, many of these workers, due to the physical challenges of their jobs, would have to leave the workforce before they are eligible for full retirement benefits.
The shifting pension landscape raises questions about the financial security of future retirees. About one-half of private-sector workers are not covered by employer-sponsored pension plans on their current job. Many private-sector employers have replaced traditional pensions with 401(k)-type plans, which protect benefits for workers who change jobs frequently but expose participants to investment risks. This primer describes pensions, workers with coverage, and related policy issues.
This study looks at older adults retiring between 1996 and 2004 to see who engages in formal volunteering after retirement. The results, based on data from the Health and Retirement Survey, show that while most volunteers acquire the volunteer habit while still working, a significant share begins volunteer work after retirement. Among adults who retire, 45 percent engage in formal volunteer activities even though only 34 percent of these same adults volunteered while working. Since boomer cohorts following this group will be much larger, nonprofit organizations seem destined to benefit from a significant growth in the services of retirees.