AARP Ohio’s LTC system Goal

• Right care• Right setting • Right price

Current situation as AARP sees it

Portion of population is growing

Economy continues in downturn

• State level• Federal level

Need for services rising

• Aging• More costly• Living longer

People are also working longer

Change is necessary

• Revelation has occurred due to change

Complexity is astronomical

Migration from close proximity

Is the system driven by the consumer or

is the consumer driven by the system ?

Politics is a key ingredient in the puzzle

Rules which primarily impose limitations impact the system

• Many are based on particular circumstance rather than helping consumer

Consumer planning is insufficient

Loss of control impacts daily life

Rise of abuse and fraud

Competition for attention in political arena

132 legislators 1175 registered lobbyists

Intent of system was supplementwealthy stay wealthy

Impact of Technology

Value placed on paid caregivers

• PASSPORT program care plan $38/day• Nursing facility $165.00/day

Living systems are not built on longer active life

Migration of community services