Resources for Integrated Care (RIC) has developed a series of briefs, described and linked below, to help long-term services and support (LTSS) providers, administrators, and other stakeholders, support a diverse direct care workforce that can meet the cultural needs and preferences of dually eligible beneficiaries. These resources contain information and promising practices related to organizational cultural competence in LTSS provider settings, training culturally competent direct care workers, and recruiting and retaining a diverse direct care workforce.
Since the passage of the ACA over 20 million people have gained access to health insurance coverage through the Marketplace. A recent issue brief from the Commonwealth Fund reaffirms that substantially lowering uninsurance rates nationwide has also led to reductions in racial and ethnic disparities in health coverage. The health coverage gains have been most pronounced for minority groups and individuals with incomes below 139 percent of the federal poverty level.
Before the passage of the ACA, Latinx people had the highest initial uninsurance rate. Black people also had higher initial uninsurance rates than whites. Therefore, a reduction of.... Read More
Culturally Competent Supports for Diverse Family Caregivers: Spotlight on Volunteers of America Minnesota-Wisconsin
Nearly one in four older adults dually eligible for Medicare and Medicaid has Alzheimer’s disease or related dementia, and dually eligible older adults have higher rates of chronic conditions than Medicare-only beneficiaries. Caring for individuals with dementia and other chronic conditions often involves significant physical, emotional, and financial support from family members. To meet the needs of family caregivers, providers and health plans may benefit from strategies for supporting caregivers through services such as respite services, counseling, and training and education.
Family caregivers come from diverse cultural and linguistic backgrounds, and health plans report.... Read More
Culturally Competent Care Resources for Providers Serving Dual Eligibles
by Viji Sundaram. This article originally appeared in India West.
When Sanjog Kaur could no longer bear the pain around her upper molar that had been bothering her for months, she took a needle-nose pliers from her husband’s toolbox one recent day, sterilized it in boiling water, rocked the offending tooth back and forth a few times and yanked it out of her mouth. Then she put a sterilized cotton ball in the gap to suck up the blood
“I was scared, but I had no other option,” said the 70-year-old Indian American resident of the Bay Area, who asked that her real name not be used. “A visit to the dentist has always set us.... Read More
by Aspen Christian. This article originally appeared on the SAGE blog.
Fifty years ago this coming June, LGBT elder pioneers started the fight for LGBT equality at the Stonewall Inn in New York City. As the nation nears the 50th anniversary of this watershed moment for the LGBT movement, SAGE and LGBT elders from across the country will gather in D.C. for SAGE’s first-ever National Day of Advocacy on March 13, 2019.
The Day of Advocacy will be held in conjunction with the annual SAGENet meeting, where SAGE affiliates gather to share ideas, participate in training sessions, and sharpen their advocacy skills. SAGENet affiliate leaders, SAGE.... Read More
New Congress begins slowly, but seniors’ priorities remain on the docket
by Marci Phillips. This article originally appeared on the NCOA blog.
The 35-day partial government shutdown that occurred during December and January was the longest government shutdown on record, and it hampered many aspects of the government’s work on behalf of older adults. While the government is back at work, Congress must pass a funding bill by February 15th. The National Council on Aging‘s Public Policy and Advocacy team are monitoring the negotiations and the shutdown’s effects on benefits and services that older adults rely on.
Only 5 of the 12 FY19 appropriations.... Read More
Rose and George Covington live in a 4-bedroom, two-bath brick house on Meridian St. in East Nashville. They are still doing what they started doing 45 years ago: raising children. Their own two, Tim and Jessica, are grown and out of the house.
They’ve got five grandchildren and one great grandchild, Michael, who is 2 ½. Rose and George are raising them. There is also Rose’s nephew, Jerry, 14. Kids from an extended family of eighty-nine at one time or another have lived in the house on Meridian St. It has four blue metal chairs on the front lawn and a welcome mat by the front.... Read More
As the nation begins unpacking the 2018 midterm election results, we will hear a lot from pundits framing Democratic gains in the House and gubernatorial races largely as a backlash against the bigotry, hypocrisy and lack of civility in the Trump administration. But if you take a moment and dig deeper, you’ll find another powerful motivator, something more personal and more relevant to voters’ lives that also drove the electorate in many red and purple states: Medicaid. In at least six states, voters went to the.... Read More
SEARAC Toolkit Sheds Light on Public Charge Proposal
The Trump Administration has proposed broadening the set of government services considered when determining whether an individual is a ‘public charge,’ a term applied to someone who is likely to rely on government assistance for support. If a person is considered a public charge, they may be denied a green card.
Seniors and parents of U.S. citizens are a significant, and growing, segment of immigrants to the U.S. and are critical to the well-being of intergenerational families. Between 1990 and 2010, the number of immigrants age 65 and older grew from 2.7 million to nearly 5 million. The number of parents of U.S. citizens who have been admitted as legal permanent residents more than tripled between 1994 and 2016. In making it.... Read More