Digital Commons Network^™

Medicaid Expansion, Long-Term Care Financing In Retirement States And The Post World War Ii Birth Cohort, Toni P. Miles

Center for Policy Research

This policy brief contains a formal consideration of ideas discussed during a presentation to the 2012 Syracuse Seminar on Aging. Like most briefs, it will appeal to policy makers and academics craving detailed demographic, fiscal and policy data. Before diving into this brief, I would encourage readers to view the presentation video (available at http://www.youtube.com/ watch?v=bsv8K7DdJFY). As you will see, the seminar was informal and the discussion was wide ranging. In contrast, this brief focuses on limitations faced by states as they finance longterm care. It is primarily concerned with the Medicaid expansion and growing need for care as the …

Gender And Marital Status Differences In Retirement Planning, Maximiliane E. Szinovacz, Gerontology Institute, University Of Massachusetts Boston

Gerontology Institute Publications

During the past decades, women have increasingly joined the labor force and worked in their later years. Yet women, especially married women, often have shorter work histories than their male counterparts due to taking time off for child care or care for ailing relatives. Are they also different in their retirement expectations? To answer this question, we explore gender and marital status differences in retirement plans.

The Universal Savings Credit, Christian Weller, Sam Ungar

Public Policy and Public Affairs Faculty Publication Series

The financial crisis of 2007 to 2009 took a tremendous toll on household wealth and shattered the sense of financial security for millions of American families. American households lost more than $20 trillion in wealth (in 2012 dollars) in the Great Recession, and households still had $10 trillion less in wealth at the end of 2012 than they had before the crisis. This massive wealth decline contributed to a widespread loss of economic security, particularly among lower-income and moderate-income families, single women, and communities of color.

This economic insecurity can have long-ranging adverse effects on U.S. economic growth as American …

Ua41 University College Connection, Dennis K. George, Dean, Wendi Kelley, University College, Western Kentucky University

UC Publications

No abstract provided.

Aarp And The Politics Of The Obama Election: "Tough Times, Tough Choices", Jeremy Harris Lipschultz, Michael L. Hilt

Communication Faculty Publications

The 2008 election and first two years of President Barack Obama’s administration was the context for an analysis of AARP news coverage. This research examined how news coverage was presented in the AARP Bulletin. During the health care debate, AARP often mentioned President Obama over congressional leaders. However, after passage of the law and subsequent election of a new congress, the Republican perspective offered a balance to the president’s agenda. The AARP Bulletin may be an agenda setter on controversial issues. This study explored themes, such as “tough times, tough choices,” which appeared to influence the coverage of political issues.

Healthy Aging In Massachusetts: Reporting Indicators, Identifying Resources & Activating Allies, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Chae Man Lee, Kristina Turk

Office of Community Partnerships Posters

In Massachusetts, a Healthy Aging Collaborative comprised of a diverse group of stakeholders has been formed for multiple purposes: information sharing around healthy aging, idea generation, partnership building and activity mapping.

Lift Up Your Voice! Health Care Advocacy Training Program: Empowering Older Adults, Nina M. Silverstein, Alison Gottlieb, Kelli Barton, Gerontology Institute, University Of Massachusetts Boston

Office of Community Partnerships Posters

Lift Up Your Voice! (LUYV) is a health care advocacy training program developed by Community Catalyst and funded through Atlantic Philanthropies. LUYV directly engages older adults with chronic disease in state-based Campaign for Better Care initiatives to achieve changes in the health care delivery system.

Planning For The Growing Older Population: Conducting Community Needs Assessments, Caitlin Coyle, Hayley Gravette, Jan Mutchler, Gerontology Institute, University Of Massachusetts Boston

Office of Community Partnerships Posters

Goals and Objectives: To describe the aging population of each community; To investigate the needs, interests and opinions of mature residents relating to their aging needs for age-related services in their respective communities; To provide recommendations to community partners and their stakeholders about how to create strong communities for older adults, based on needs assessment results; Generate reports and other documents to be used by the Department of Elder Services, other town offices, organizations that provide services, advocates, and community members.

Ua41 University College Connection, Dennis K. George, Dean, Wendi Kelley, University College, Western Kentucky University

UC Publications

No abstract provided.

Evaluasi Program Penguatan Perempuan Usaha Kecil (Puk) (Evaluasi Sumatif Terhadap Program Penguatan Puk Yang Dilakukan Asosiasi Pendamping Perempuan Usaha Kecil Di Solo), Agung Cahyanto

Jurnal Ilmu Kesejahteraan Sosial

This research is a study summative evaluation PUK Strengthening Program in Solo with a quantitative approach. The goal is to measure outcome indicators and analyzes the factors that influence the achievement of outcomes based on aspects of the process and input. The analysis was done by means of univariate and bivariate with cross table, Chi Square and Kendall Tau. The results showed that the outcome indicators has not been achieved. Factors that influence the outcome of the process aspect are ability to identify and solve problems, quality of production, volume of business, business innovation, profit exhibitions, as well as participation …

“Listen Carefully:” A Study Of Ageist Stereotypes And Undergraduates’ Desire To Work With Elders, Genevieve Ilg

Annual Undergraduate Conference on Health and Society

“Listen Carefully:” A Study of Ageist Stereotypes and Undergraduates’ Desire to Work with Elders identifies and assesses how prior experience with elders and ageist stereotypes informs the degree to which undergraduates are inclined (or disinclined) to consider geriatrics as a potential career. Current literature indicates a lack of interest among social workers and other allied-health professionals in working with this demographic. Here, the “generation gap” not only pertains to the differences between younger people and their elders, but to the gap between the aging population’s increasing demand of need and how many individuals plan to serve the elderly. For this …

Health Centers And Family Planning: Results Of A Nationwide Study, Susan Wood, Debora Goetz Goldberg, Tishra Beeson, Brian K. Bruen, Kay Johnson, Holly Mead, Peter Shin, Julie Lewis, Shavon Artis, Katherine Hayes, Merle Cunningham, Xiaoxiao Lu, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

Community health centers (CHCs) provided primary health care to over 20 million patients in 2011, 60% of whom are women and 25% of whom are women of childbearing age. Health centers play a central role in women's health, because of their mission to furnish a full range of primary and preventive care services, including family planning and birth control for women of reproductive age. As a result of the Affordable Care Act, which provide for historic insurance expansions, broad first-dollar coverage of family planning services, and direct investment in CHCs, it is projected that health center capacity will virtually double …

Implications Of Rhode Island’S Global Consumer Choice Compact Medicaid Waiver For Rebalancing Long-Term Care Under The Affordable Care Act, Edward Alan Miller, Divya Samuel, Susan Allen, Amal Trivedi, Vincent Mor

Gerontology Institute Publications

Federal approval of Rhode Island’s Global Consumer Choice Compact Global Waiver in 2009 provided Rhode Island with greater flexibility to modify its Medicaid program. Because 96% of long-term care expenditures in Rhode Island were directed toward institutional settings, a primary goal was to facilitate the state’s efforts to shift the locus of long-term care to non-institutional settings. This study draws lessons from Rhode Island’s experience with the Global Waiver for the long-term care rebalancing provisions of the Patient Protection and Affordable Care Act of 2010. Data derive from 325 archival sources and 26 semi-structured interviews. Results suggest that prospectively documenting …

Implications Of Rhode Island’S Global Consumer Choice Compact Medicaid Waiver For Designing And Implementing State Health Reform, Edward Alan Miller, Divya Samuel, Susan Allen, Amal Trivedi, Vincent Mor

Gerontology Institute Publications

Provisions in the Medicaid statute permit states to apply for waivers from traditional program requirements. On January 16, 2009, the federal government approved Rhode Island's Global Consumer Choice Compact Waiver. In exchange for a cap on combined federal and state spending of $12.075 billion through 2013, Rhode Island received greater flexibility to adopt certain Medicaid program changes. This study analyzes the design and implementation of the Global Waiver to draw general lessons for health reform at the state-level, a key concern given ongoing state discretion to improve their health care systems under the Patient Protection and Affordable Care Act. Data …

Implications Of Rhode Island’S Global Consumer Choice Compact Medicaid Waiver For Block Granting Medicaid And Other Retrenchment, Edward Alan Miller, Divya Samuel, Susan Allen, Amal Trivedi, Vincent Mor

Gerontology Institute Publications

On January 16, 2009, the Federal government approved Rhode Island’s application for a Global Consumer Choice Compact Medicaid Waiver whereby the state became the first granted permission to operate its entire Medicaid program under the state plan and a single 1115 “research and demonstration” waiver. The Global Waiver has been implemented in the context of Republican proposals to turn Medicaid into a block grant which would give states substantially more flexibility administering the program in exchange for receiving an upfront allotment from the Federal government. Proponents have held up the Global Waiver as a successful example of what might be …

Aging In Hingham: A Community Affair, Jan Mutchler, Caitlin Coyle, Hayley Gravette

Gerontology Institute Publications

The purpose of this needs assessment is to investigate the needs, interests, and opinions of mature residents of Hingham, Massachusetts, relating to their aging experiences and needs for age-related services. This assessment was undertaken by the Gerontology Institute of the McCormack Graduate School at UMass Boston on behalf of the Town of Hingham Department of Elder Services (hereinafter referred to as the Department of Elder Services). The focus of this report is on Hingham residents aged 60+ (referred to here as “Seniors”) and residents aged 45-59 (referred to here as “Boomers”). Information about these two age groups was obtained both …

Ua41 University College Connection, Dennis K. George, Dean, Wendi Kelley, University College, Western Kentucky University

UC Publications

No abstract provided.

Ua1b1/7 Wku Ceremonies, Dedications, Groundbreakings, Wku Archives

WKU Archives Collection Inventories

Records regarding special ceremonies, dedications, groundbreakings not already housed in a particular office.

Three Questions For Community Engagement At The Crossroads, Kevin Kecskes, Kevin Michael Foster

Public Administration Faculty Publications and Presentations

Unfortunately, a decade of “calls to action,” begun by the Kellogg Commission’s report on university engagement and the 1999 Wingspread Declaration on Renewing the Civic Mission of the American Research University, has not produced a flowering of transformed institutions….This is not because engagement does not work….And it is not for lack of knowledge on how it can be implemented….Rather, engagement is difficult work. It gets to the heart of what higher education is about and as such, it requires institution-wide effort, deep commitment at all levels, and leadership by both campus and community. (Brukardt, Holland, Percy, & Zimpher, N., 2004, …

2013, Aca National Camp Research Symposium Abstracts, American Camp Association

ACA National Camp Research Forum Abstracts

This book includes 12 abstracts that will be presented at the 2013 American Camp Association (ACA) Research Forum to be held during the ACA annual conference.

Nebraska Legislative Planning Committee, 2012 Report: Policy Briefs, Jerry Deichert, Karl Kosloski, John R. Bartle, Sikarn Issarachaiyos

Faculty Books and Monographs

Co-edited by Jerry Deichert and John Bartle, UNO faculty members.

Report: Addressing the Long-Term Care Needs of Nebraska’s Aging Population through Expanded Assistance to Caregivers, co-authored by Jerry Deichert and Karl Kosloski, UNO faculty members.

Report: Cost Savings in Medical Care for the Elderly through Expanded Case Management, co-authored by Jerry Deichert and Karl Kosloski, UNO faculty members.

Report: City-County Consolidation: Implications for Nebraska, co-authored by John R. Bartle and Sikarn Issarachaiyos, UNO faculty members.

Report: County Mergers: Evidence for Nebraska, co-authored by John R. Bartle and Sikarn Issarachaiyos, UNO faculty members.

Report: Early Childhood Education for Children with All …

The National Elder Economic Security Standard Index, Gerontology Institute, University Of Massachusetts Boston

Gerontology Institute Publications

The Elder Economic Security Standard Index (Elder Index) is a new tool for use by policy makers, older adults, family caregivers, service providers, aging advocates, and the public at large. Developed by the Gerontology Institute at the University of Massachusetts Boston and Wider Opportunities for Women (WOW), the Elder Index is a measure of income that older adults require to maintain their independence in the community and meet their daily costs of living, including affordable and appropriate housing and health care. The development and use of the Elder Index promotes a measure of income that respects the autonomy goals of …

Nebraska Legislative Planning Committee 2012 Report: Policy Briefs, Center For Public Affairs Research (Cpar)

Past Publications

The Nebraska Legislature's Planning Committee was created in 2009 with the passage of LB 653 in order to help establish a process of long-term state planning with the Nebraska Legislature. The committee was created to assist state government in identifying emerging trends, assets and challenges of the state and the long-term implications of the decisions made by the Nebraska Legislature.

Efforts during the first two years of the committee focused on the development of a database. The goals and benchmarks included in the database were developed and approved by the Legislature's Planning Committee to present a common-sense and data-driven assessment …

Town Of Cohasset Senior Center Study, Jan Mutchler, Hayley Gravette, Caitlin Coyle

Gerontology Institute Publications

The Town of Cohasset is considering the construction of a new Senior Center that will provide the opportunity for expanded programming within a dedicated building. In support of planning efforts by the Town of Cohasset, a study was conducted by the Gerontology Institute of the McCormack Graduate School at UMass Boston. The study addresses the need for, and probable utilization of, a new Senior Center, and includes consideration of the recreational, educational and health-related programs that are likely to be offered through the new Center. Results of the study presented in this report respond to three questions: First, what are …

Private Pension Protections Since Erisa: The Expanded Role Of The Individual, Karen A. Zurlo

The Journal of Sociology & Social Welfare

Designed to provide security and equity to defined benefit (DB) pension plans, the Employee Retirement Income Security Act (ERISA) became law in 1974. Since that time, the economy has shifted to a more globalized, non-unionized, service-based environment, where defined contribution (DC) plans replaced DB plans as the dominant type of private pension plan. Today workers and retirees bear the burden of managing their pension plans and the associated risks. To protect Americans against the financial risks they face in retirement and ensure greater economic security in old age, targeted financial education, research, and fundamental pension policy reform are required.

Pemberdayaan Keluarga Dan Masyarakat Melalui Pelatihan Komunikasi Dalam Keluarga Yang Mengedepankan Kepentingan Anak, Ety Rahayu

Jurnal Ilmu Kesejahteraan Sosial

To be able to realize child welfare, the family, society and the government should pay attention to the rights and needs of children. To ensure the psychological dan social development, children need love, understanding, recreational atmosphere, creative stimulation, self-actualization, and intellectual development. Therefore they require early socialization and basic education, the teaching of social responsibility, social roles and basic skills in order to become useful citizens. Children from poor families are often raised with parenting less conducive to their growth and development. One of the efforts undertaken is through communication training for mothers from poor families. Through this training the …

A Social Justice Perspective On Medicare Part D In An Age Of Reform: Critical Implications Of Trends In Health Care Policy And Advocacy, Louanne Bakk, Marya R. Sosulski

The Journal of Sociology & Social Welfare

This article examines the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) in its current form and explains why a critical perspective is useful when analyzing the policy and reform efforts. Using this approach, we consider the development of the policy and describe ways that gender and racial differences may hinder equal access to medications for some of the most vulnerable older adults. This article explores the implications of gender and racial disparities under the MMA and ramifications of health care reform efforts that could potentially impede, rather than promote, a social justice agenda. Beyond the political advantage …

Long Term Care Insurance Beyond The Class Program, Amy Restorick Roberts, David B. Miller, Merl C. "Terry" Hokenstad Jr.

The Journal of Sociology & Social Welfare

The Community Living Assistance and Supports (CLASS) program, created under the Patient Protection and Affordable Care Act, established a federally-administered, voluntary insurance program that allows for working adults to purchase insurance to cover the cost of long term support services. The CLASS program is the first step towards moving away from a welfare-based system, improving consumer choice, and creating a stable funding source for long term care needs. Enrollees in the CLASS program who meet benefit eligibility requirements and need care assistance will receive a cash benefit to pay for supportive services such as home health care, adult day services, …

Age, Period And Cohort Effects On Social Capital, Philip Schwadel, Mike Stout

Department of Sociology: Faculty Publications

Researchers hypothesize that social capital in the United States is not just declining, but that it is declining across generations or birth cohorts. Testing this proposition, we examine changes in social capital using age-period-cohort intrinsic estimator models. Results from analyses of 1972–2010 General Social Survey data show 1) that informal association with neighbors declined across periods while informal association with friends outside of the neighborhood increased across birth cohorts; 2) that formal association was comparatively stable with the exception of relatively high levels of formal association among the early 1920s and early 1930s birth cohorts; and 3) that trust declined …

Quality Of Life For All Ages, By Design. A Conversation With Patricia Moore, Patricia Moore

Center for Policy Research

On November 3, 2011, Patricia Moore presented the Syracuse Seminar on Aging to a packed audience of over 250 faculty, students, and community members. She delivered an engaging lecture on “Quality of life for all ages, by design”. Afterwards Janet Wilmoth, Director of the Syracuse University Aging Studies Institute, and Patricia Moore had a chance to sit down and talk about her path-breaking career, ability-based design, and aging in America.