KEY FEATURES. Comprehensive medical and social services delivered in community day centers and people's homes. TARGET POPULATION. Primarily dually eligible beneficiaries of Medicare and Medicaid, age 55 and older, who need long-term care but are able to safely live at home. Serves some 39,000 elders (average age 75) at 118 sites across the nation. WHY IT'S IMPORTANT. Many frail elders prefer to remain in their homes rather than live in long-term care institutions but are unable to afford private services for home care. BENEFITS. Promotes socialization, activity, and independence, while lessening burden on family caregivers. Improves some aspects of care quality and reduces need for acute care, while achieving costs comparable to traditional Medicare. CHALLENGES Operationally complex; requires large care teams. May need adaptation to reach larger share of population.
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)