Issue Briefs

ISSUE BRIEF: PA Seniors Deserve Better - Health Care Inflation vs. Changes in State Funding for Nursing Facilities
The state’s funding for nursing facilities is not keeping up with health care inflation. That means senior care providers are falling further and further behind. Right now, the losses equal more than $25 per day for every resident – and the costs are escalating. This has led to increased costs for private-pay residents, who are seeing their life savings depleted.

ISSUE BRIEF: Pennsylvania's Senior Care Funding Status Quo is Unsustainable 
Pennsylvania’s current funding model for senior services forces many older adults into more expensive skilled nursing facility settings rather than lower cost alternatives in order to receive government assistance. Seniors with moderate and low incomes who rely on government assistance are limited in places where they can receive needed services. LeadingAge PA believes that Pennsylvania can achieve savings of at least $80-$100 million if Medical Assistance services would be offered in the PCH/ALR setting.

ISSUE BRIEF: Community HealthChoices
Community HealthChoices (CHC) is the commonwealth’s plan to deliver Medicaid funded long-term services and supports (LTSS) through a capitated managed care program to older Pennsylvanians and adults with physical disabilities. CHC will use MCOs to coordinate the physical health, behavioral health, and long-term services needs of participants in order to improve access, efficiency, and quality to qualifying populations. Find out about the implementation timeline for CHC, goals for the program, and critical information for Medicaid providers.

ISSUE BRIEF: Impact of the Woodwork Effect on Senior Services
There is currently concern among Pennsylvania’s policymakers that expanding Medical Assistance to include assisted living services could create a woodwork effect and any potential savings that could be obtained by diverting eligible participants away from skilled nursing facilities would be offset by this new population. LeadingAge PA examined this potential woodwork effect by looking at Pennsylvania’s age and income qualified population and estimating the portion of that population that have long-term supports and services (LTSS) needs.