Northeast PA Business Journal--02-19

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Business Journal BUSINESS. YOU. NORTHEAST

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February 2019 VOL. 34 NO. 2

Health care focus: caring for the elderly

by Dave Gardner

A tidal wave of economic and societal challenges is crashing over America as scores of people enter the ranks of the nation’s 46 million senior citizens. Michael Landram, Ph.D., assistant professor of exercise science and sport at the University of Scranton, cited various accredited sources, including the Centers for Disease Control and Prevention, that detail how the high-stakes population shift LANDRAM is occurring nationally. More than 10,000 people are being added daily to the nation’s 65 and over population, creating steeply rising needs for elder care. Dr. Landram detailed how more than 80 percent of these Americans age 65 and above are dealing with one chronic health care problem, and 77 percent are comorbid with two or more ailments. One out of three people age 65-and-older have limitations in daily activities. The costs to society of the nation’s population shift is staggering. At least 75 percent of total health care spending is discharged to cope with chronic disease, primarily for the elderly, while only one percent is spent for prevention. From a macro standpoint, the nation’s aging population of age 50 plus create $7.6 trillion of annual economic contributions, which is sure to decrease as they age. Overall, four out of 10 Americans can’t immediately cover a $400 expense, and 25 percent of the total public have no retirement money set aside. “All of this economic data indicates we have created a prescription for hardship and com-

pounding pain,” said Dr. Landram. “We need system changes to cope.” Unfolding epidemic Janine Starinsky, MHA, former executive manager of Oakwood Terrace, confirmed an epidemic crisis has developed involving baby boomers needing elder care, particularly for catastrophic dementia-related diseases. Many of these seniors are lacking financial savings and require complex care they can’t afford. Dementia-related admissions is also rising for people under age 60, including alcoholics and Vietnam veterans with concussions or other brain injuries. This is unfolding at a time when workforce problems are surfacing with STARINSKI the specialized care arena. “Our workforce includes many younger people who don’t have the work ethic of the previous generation,” said Starinsky. “This is one of the reasons we have a shortage of trained caregivers, with the industry’s pay scales partly to blame while we deal with mandated qualifications and staff ratios. Our nursing needs are steep and we’re also not educating them, creating various competency issues.” Starinsky added the workforce upheaval, plus evolving insurance regulations, steeply rising operating costs and the tactics of questionable management, all are problems care centers may have to deal with. Forecasting is yet another issue. “We really need to be a decade ahead of changes to properly prepare for them,” said Starinsky. Another challenge in the elder care involves attempts to reach out to those needing assistance,

according to Maria Maletta-Hastie, outreach and enrollment coordinator with LIFE Geisinger. She explained a lot of people who qualify for care don’t believe they have a need, and rely instead on family, particularly when Alzheimer’s is present. Within this setting, Harrisburg is now rolling out a new system called ComHASTIE munity HealthChoices, which involves the state entering into contracts with four big providers that select patients must use. The system, according to Harrisburg, draws upon state and federal funding and was designed to coordinate coverage and improve the quality of health care experience for people 21 or older and who receive both Medicare and Medicaid, or receive long-term support through Medicaid. “This is actually a move back to managed care because it will not be a fee-for-service system,” said Maletta-Hastie. “We are hoping the change will enhance opportunities for community living, improve coordination, and increase quality and accountability.” Pharmaceutical battlefield Mario Cornacchione, DO, associate professor and assistant chair of family medicine with the Geisinger Commonwealth School of Medicine, explained clinical trials are underway with drugs to treat Alzheimer’s. On a global scale, 80 to 90 clinical trials are also in progress with the goal of stopping the disease, slowing its progression, or perhaps curbing it entirely. CORNACCHIONE

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