o Care options are definitely moving from a strictly medical model to a social model
o Consumers are increasingly demanding and expecting more choices in care options
o The aging of baby boomers will probably increase the demand for a broad array of long-term care services and options (maybe including alternative medicines, etc.)
o Services will become integrated: long-term care and acute care will be integrated rather than separated (ie nursing home care versus home care)
o "aging-in-place" will direct the structure and architecture of living options
o nursing home beds will decline significantly in number
o increasing "consumer-directed care" means that individuals will assume a more proactive role in the choice of service modalities and delivery of care. There may be increased direct payments to beneficiaries that allow them to choose their own services.
o The overall trend is away from institutional, medical-based models to social, community-based, residential or home-like models, even for acute care.
o Remote Monitoring Technology is becoming more and more important and has been shown to reduce Emergency Room visits and hospitalizations by significant numbers.
o Financing responsibility for long-term care is shifting away from the federal government to states, individuals and their families. Consumers will need to think more seriously about how to plan and pay for their future long-term care needs.
o The American population is aging rapidly at the same time the
the supply of non-paid caregivers is declining – many traditional family caregivers are returning in higher numbers to the workplace. Families have fewer children (reducing the number of potential family caregiver pool). Many families are becoming increased geographically distant from each other, leading to the need for an increased pool of paid caregivers
o In the future, the labor force, in general, will be declining at the same time that those needing long-term care services is increasing
o The aging of the population will put an increasing strain on Medicaid programs, which are intended for nursing home care, not long-term care. Congress is sending a clear message that the government has no intention of establishing a new, government-sponsored, long-term care entitlement program.
o Long-term care staffing shortages need to be addressed and the workforce developed to meet the anticipated growing need
o Many states (particularly Oregon and Washington) have explicitly recognized nursing homes as the setting of last resort, and have intentionally reduced the number of nursing home beds, or (as in Minnesota) placed a moratorium on new nursing home beds.
o As baby boomers age, housing developers are going to be paying more attention to the physical design of homes and there may be more pressure to build homes in which people can age in place.