The Future of Aging Forum
Aligning Social and Health Care to Advance Health, Equity, and Independence
October 9, 2024
11 a.m. to 4:30 p.m.
Boston University Metcalf Trustee Center
Agenda and Speakers
Keynote
The Future of Aging: Aligning Social and Health Care to Advance Health, Equity, and Independence
Eighty percent of what affects health outcomes occurs outside of the health care setting. These non-medical factors, known as social determinants of health, include socioeconomic status, education, physical environment, employment and social support networks, as well as access to health care.
Our distinguished keynote speaker, Dr. Rishi Manchanda, will kick off the Future of Aging Forum with a discussion on how we can align social and health care partnerships to positively influence social determinants of health.
Dr. Manchanda will introduce the upstream movement and provide insight regarding how health systems fail to protect our most vulnerable populations by neglecting to go beyond the screening portion of their work. An upstreamist, however, is a member of the health care ecosystem responsible for ensuring that their practice, department, clinic, and hospital routinely screen for social risk factors related to health and equip their system to address them.
The success of health care relies on embracing upstreamist principles. Health care partnerships with community-based organizations, for example, are critical in addressing the upstream drivers of poor health. Dr. Manchanda will tie examples to the roles Area Agencies on Aging (AAA) and Aging Services Access Points (ASAPs) play in providing access to healthy foods and quality health care, reliable transportation, stable housing and economic stability. Manchanda will empower audience members to become upstreamists and consider how they can use strong partnerships to positively impact the Future of Aging.
Rishi Manchanda, MD, MPH
CEO and Founder
HealthBegins
Dr. Rishi Manchanda is CEO at HealthBegins, a national mission-driven strategy and implementation firm that helps Medicaid-serving managed care plans, health systems, and social sector clients to exceed health care equity and social needs performance requirements, and achieve long-term impact for people and communities harmed by societal practices.
Honorable Guests
Robin Lipson
Acting Secretary
Executive Office of Elder Affairs
Edward Augustus
Secretary
Executive Office of Housing and Livable Communities
Panels
PANEL #1
Improving Health Outcomes for Dual-Eligible Populations through Integrated, Data-Focused Models
In April 2011, the Centers for Medicare and Medicaid Services (CMS) awarded design contracts to Massachusetts and fourteen other states to develop a service delivery and payment model to integrate care for beneficiaries who are dually eligible for Medicare and Medicaid.
Although the dual-eligible population comprises less than 20 percent of the overall Medicaid or Medicare population, they account for 34 percent and 30 percent of Medicare and Medicaid spending, respectively. According to the Kaiser Family Foundation, nearly 90 percent of those who are dually eligible live on an annual income of less than $20,000. More than 50 percent are people of color, and about 25 percent of dual-eligible enrollees have five or more chronic conditions.
This panel will explore how to leverage longitudinal integrated care models and data analytics to better inform interventions to better serve the dual-eligible populations who are often left to navigate a highly complex and fragmented system of care often resulting in poor health and quality of life outcomes.
Our guest experts will explore the importance of Long-Term Services and Supports (LTSS), Home and Community-Based Services (HCBS) and care coordination in promoting the dignity and independence of the dual-eligible population. The panel will also discuss future opportunities to advance health outcomes by aligning and integrating care models and leveraging data and analytics to drive innovation and policy change.
Jason Flood, MBA, MPP
Senior Director, Strategy & Value Based Care Analytics
Boston Medical Center Health System
MODERATOR
John Madondo, RN, MSN, MBA
CEO
UnitedHealthcare Community Plan of Massachusetts
David Seltz
Executive Director
Massachusetts Health Policy
Commission
Vicki Fung, Ph.D.
Investigator, Assoc Prof (M)
Mongan Institute Health Policy Center, Mass General Research Institute
Associate Professor of Medicine
Harvard Medical School
PANEL #2
Advancing Health Equity Through Innovative Housing Partnerships
Nationwide, the rate of homelessness and housing insecurity for individuals over the age of 50 is growing. A 2023 National Alliance to End Homelessness study projects that homelessness among older adults in the Greater Boston area is expected to triple by 2030. As the Massachusetts population ages rapidly, pressing chronic health conditions, mental health challenges, and insufficient fixed incomes increase the risk of homelessness. Older adults are often forgotten in the quest for affordable housing options.
Although these statistics are alarming, selected housing interventions for low-income individuals have been found to improve health outcomes, decrease health care costs, and promote long-term housing security. This panel will explore how supportive housing models can provide unique service enhancements to better serve older adults and younger adults with complex care needs. Strong cross-sector partnerships are essential to ensuring that older adults and adults with disabilities remain in their homes if they wish to do so, but operationalizing these models come with its challenges.
The panel will also provide case examples and interventions that are used to address health equity, increase access to care and services, improve health outcomes and reduce unnecessary healthcare utilization. Audience members will learn about innovative supportive living models serving older adults, individuals with disabilities and intergenerational households.
Soni Gupta, SMArchS
Associate Vice President of
Community Wealth
The Boston Foundation
MODERATOR
Lizbeth Heyer
Chief of Real Estate & Innovation
2Life Communities
Betsey Crimmins
Executive Director
Mass Home Care
Monera Wong, MBBS, MRCP(UK), MPH
Chief Medical Officer
The Dimock Center
Jesse Edsell-Vetter
Director of Grants and
Special Initiatives
Homeowner’s Rehab, Inc./CNAHS
PANEL #3
Building Age-Friendly Communities: A Strategic Framework for a National Plan on Aging
Adults 65 and older are the fastest-growing age group in the U.S. Working to ensure that they can safely age in place with their health, social and economic needs met is paramount to their health and well-being.
Our final panel will examine the key components of a National Plan on Aging and provide a high-level overview on how partnerships can be leveraged to improve the experience of aging in the U.S. We will build on the Administration for Community Living’s recent report, “Aging in the United States: A Strategic Framework for a National Plan on Aging” that is anchored in four pillars:
- Housing: Ensure availability and accessibility of affordable and age-friendly housing. Address the integration of housing and supportive services to facilitate aging in place.
- Transportation: Develop accessible transportation options to help older adults stay connected and active within their communities.
- Health and Healthcare: Focus on preventive care, manage chronic conditions effectively, and ensure healthcare services are high quality and accessible.
- Long-Term Services and Supports (LTSS): Increase the availability and accessibility of in-home and institutional supports for those who need them.
With these pillars in mind, we can improve the aging experience for older and create communities that appreciate their contributions, sustain health and well-being, recognize and support family caregivers and reward the work of the professionals who provide in-home and community-based care.
Olivia Umoren, MPH
Director, Public Policy and Advocacy
USAging
MODERATOR
Jennifer Throwe, MSW
Regional Administrator
Administration for Community Living
Bree Bernat Shems
Senior Director of Policy, Strategy, and Innovation
Massachusetts Executive Office of Elder Affairs
Katherine Howitt
Director
Massachusetts Medicaid Policy Institute (MMPI)
Agenda
10–11 a.m.
Registration
11 a.m.–12:45 p.m.
- Introduction and Welcome
- Public Policy Remarks
- Keynote
- Aligning Social and Health Care to Advance Health, Equity, and Independence
- Keynote Speaker: Rishi Manchanda, MD, MPH, CEO and Founder, HealthBegins
12:45–1:30 p.m.
Lunch
1:30–4:30 p.m.
- Panel 1
- Improving Health Outcomes for Dual-Eligible Populations through Integrated, Data-Focused Models
- Moderator: Jason Flood, MBA, MPP, Senior Director, Strategy and Value-Based Analytics, Boston Medical Center
- Panel 2
- Advancing Health Equity Through Innovative Housing Partnerships
- Moderator: Soni Gupta, SMArchS, AVP of Community Wealth at The Boston Foundation
- Panel 3
- Building Age-Friendly Communities: A Strategic Framework for a National Plan on Aging
- Moderator: Olivia Umoren, MPH, USAging
4:30–6 p.m.
Cocktail Reception
The Future of Aging Forum and Somerville-Cambridge Elder Services are not affiliated with Boston University. Although the Future of Aging Forum is scheduled to occur on the campus of Boston University, the use of University facilities and/or property does not constitute or imply the endorsement or support of the Future of Aging Forum or Somerville-Cambridge Elder Services by Boston University.