Over the last two-plus years, the Milken Institute Center for the Future of Aging has explored the financial and care-delivery gaps in the long-term care market, specifically the barriers to affordable care for middle-income households and the potential paths forward. A recent report detailed findings and opportunities for action developed during a Financial Innovations Lab®, including a large-scale Medicare Advantage demonstration project to test the effectiveness of technology and home-based interventions in reducing cost and improving care across the continuum. In addition, the Center made recommendations to advance telehealth in the wake of the pandemic, which complement and support these efforts.
To recognize the growing demand for virtual care, data supporting home-based and alternative care-delivery models, the rapid expansion of telehealth, and the potential to advance health equity, the Center launched the Advancing Tech-Enabled Health and Home Care Project in 2021. We are grateful for the generous support from our partners CVS Health, Home Instead, Teladoc Health, The Permanente Medical Group, and The SCAN Foundation. This multi-sectoral initiative focuses on actionable solutions to integrate health and home care through technology.
Based on perspectives from expert interviews, a half-day roundtable, and a follow-up survey, this report presents consensus-built, actionable recommendations from the roundtable to integrate health and home care through technology.
The recommendations include:
Pandemic-related and larger-scale policy and program design changes to expand the availability of care in the home through technology;
Practices and policies to create an optimal care environment, foster greater alignment of programs, and drive integration within the virtual care ecosystem; and
Collaboration and coordination to accelerate efforts.