Cultural competence is the key to trust and respect between clients and direct care workers

Dear Colleague,

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.

Click here to access the direct care workforce briefs.

Nearly.... Read More

             

New Data Show ACA Is Reducing Racial Disparities in Health Coverage

by Dara S. Taylor. This article originally appeared on the Community Catalyst blog.

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

This article was written for the Diverse Elders Coalition by Resources for Integrated Care.

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

Dear Colleague,

April was National Minority Health Month, and May is Older Americans Month. In observance, we invite you to explore our resources for delivering culturally and linguistically competent long-term services and supports (LTSS).

Long-term services and supports (LTSS) are a vital part of care for many dually eligible beneficiaries. Nearly half (42 percent) of full-benefit dual eligibles used LTSS in 2013, including nursing facility services, adult day programs, home care, and personal care services. Individuals from racial and ethnic minority groups often experience disparities in access, quality, and outcomes.... Read More

             

A Mouthful of Pain for Older People: Sen. Cardin Introduces Medicare Dental Benefit

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

             

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

             

Christmas at the Covingtons

by Peter White. This article originally appeared in The Tennessee Tribune.

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

             

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

             
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