Maximus, Inc. · NYSE:MMS
Maximus — MAXIMUS Webinar Series (March 2011)
32 slides from Maximus's conference presentation, Mar 4, 2011
Slide 1: Utilizing Technology to Achieve Efficiencies and Improved Quality in Long-Term Care
Utilizing Technology to Achieve Efficiencies and Improved Quality in Long-Term Care March 4, 2011 Barbara Selter Sabra Gardner Travis Brown Vice President Project Manager Vice President Health Services, West Region Program Administration Corporate Development MAXIMUS MAXIMUS WellAWARE Systems MAXIMU
Slide 2: Agenda
Agenda • Future Projections and the Challenges They Pose for States • Technology Can Help! • Well Aware – A Telecare Example • Questions and Answers MAXIMUS Webinar Series
Slide 3: What Does the Future Hold?
What Does the Future Hold? • Current life expectancy is a record high 77.9 years, resulting in huge increases in the elderly • The first boomers turn 65 in 2011, marking a new era in politics, medicine, government, social support, aging and entitlement programs • From 2007 to 2030, significant growt
Slide 4: Significant Population Growth for Those Likely to Need Long-Term Care
Significant Population Growth for Those Likely to Need Long-Term Care Source: Kaiser Commission on Medicaid and the Uninsured, U.S. Census Bureau, 2004 “U.S. Interim Projects by Age Sex, Race and Hispanic Origin, Table 2a, census.gov/ipo/www/usinterimproj/natprojtab02a.pdf6 MAXIMUS Webinar Series
Slide 5: Aging Boomers Strain the System
Aging Boomers Strain the System Baby boomers will greatly impact public policy and health care system due to volume and service need: – Boomers purchase 77% of all prescription drugs – Boomers buy 61% of all OTC medications – Poverty is strongly associated with diabetes, serious heart conditions, an
Slide 6: The Health of Older Adults
The Health of Older Adults • Americans over 65 have 3 times the rate of short stay hospital visits as all age groups combined • 59% of non-institutionalized adults 65+ have basic action difficulties, 34% have complex activity limitations • Disability increases with age, severe disability is associat
Slide 7: The Cost of Older Adults
The Cost of Older Adults • 75% of older adults suffer from one or more chronic diseases • 2.6 Trillion dollars is spent annually on health care (17.3% of GDP in 2009) • 85% of health care dollars are exhausted for people with chronic conditions • Chronic illness expenses are 98% of Medicare dollars,
Slide 8: Total US Long-Term Care (LTC) Expenditures
Total US Long-Term Care (LTC) Expenditures Public insurance programs pay for 67% of Long-Term Care and expenditures are growing… Source: Ng. Terrence and Harrington, Charlene. “Medicare and Medicaid in Long Term Care, “ PAS Center Webinar, Center for Personal Assistance Services. MAXIMUS Webinar Ser
Slide 9: Projected Growth in Long-Term Care Spending
Projected Growth in Long-Term Care Spending • State Medicaid programs will spend $3.7 trillion (including Federal matching funds) on long-term care over the next twenty years • Spending will grow at a faster rate than Medicare and the national Gross Domestic Product • Between 2008 and 2027, Medicaid
Slide 10: Growth In HCBS Participants and Cost
Growth In HCBS Participants and Cost Source: Ng. Terrence and Harrington, Charlene. “Medicare and Medicaid in Long Term Care, “ PAS Center Webinar, Center for Personal Assistance Services. … and demand for HCBS is steadily increasing.
Slide 11: Shortage of Health Care Professionals
Shortage of Health Care Professionals • The health care industry is experiencing drastic understaffing - by 2020 national shortages of : – 100,000 physicians, – 250,000 public health professionals – a million nurses • Boomer health professionals will begin retiring in 2011 • One-third of all active
Slide 12: A "Perfect Storm" of Converging Challenges and Opportunities
A “Perfect Storm” of Converging Challenges and Opportunities • Aging Baby Boomers • Lengthened Life Expectancy • Limited Financial Resources • Declining Numbers of Health Care Professionals • Health Care Reform • Medicare & Medicaid Modernization • Technological Advancements in Wireless Health MAXIM
Slide 13: The Technology Solution
The Technology Solution • Medical technology applies science to develop solutions to health problems and issues. • Technological advances have already dramatically changed the way health care is delivered, improving quality and length of life • Modern sensor and communication technology is causing a
Slide 14: Different Technologies for Care Delivery
Different Technologies for Care Delivery • Telemedicine: Technology to remotely diagnose and treat conditions through electronic means • Telehealth: A synonym for telemedicine that includes non-clinical practices • Mobile Health: Delivery of health care services via mobile communication devices such
Slide 15: Why Telecare?
Why Telecare? • Enables remote interactions among providers, caregivers and patients • Links distant resources with more convenient, affordable sites of care • Offers a realistic way to serve increasing numbers of poor, working poor, uninsured and underinsured • Provides a resourceful evolution in m
Slide 16: Funding: OAA and ACA
Funding: OAA and ACA • Telecare for Medicaid/Medicare enrollees falls under the Older Americans Act which funds social services for older persons; emphasis on low-income, minority, limited English proficiency, and rural area residents • Focus on community innovations for aging in place to sustain ol
Slide 17: Implementing Telecare
Implementing Telecare Once a person is determined eligible for services by the government client, there are four components of telecare : 1. Visit the approved individual’s home, conduct an interview, and determine the appropriate monitoring support and technologies required, based on an in-home ass
Slide 18: Telecare Operational Model
Telecare Operational Model MAXIMUS Webinar Series
Slide 19: Examples of Telecare Success
Examples of Telecare Success • In Europe, considerable attention has been given to the role of technology in sustaining independence: – May 2010 North East Essex research report demonstrated that home telehealth monitoring in reduced hospital attendance by 44% and home visits by 19% – Additionally o
Slide 20: Potential Public Sector Pilot
Potential Public Sector Pilot Creating a government–sponsored remote monitoring pilot to save money and improve quality… • Well Aware technology implemented in older adult home and community-based care waiver population • Use of existing MAXIMUS call centers to perform remote monitoring and provide:
Slide 21: MAXIMUS Webinar Series
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Slide 22: WellAWARE Systems smart sensor technology
Using smart sensor technology, WellAWARE® Systems provides a directional guide to proactively identify changes in key wellness indicators such as, sleep quality, activity level, bathroom visits and more, which significantly improve health related outcomes. 2 2 2011-505-RF-AN-V6 MAXIMUS Webinar Serie
Slide 23: Provider's Commitment to Quality of Care
Provider’s Commitment to Quality of Care Geriatic Front-line Clinical Care Insurers or Case/Care Caregivers Providers Payers Managers Many seniors • 80% of senior’s time is spent with front line caregivers won’t or can’t • Turnover is significant self-report 3 2011-505-RF-AN-V6 MAXIMUS Webinar Serie
Slide 24: Senior health risks: sleep, falls, UTIs, medication interactions
65% of the residents living 1 in 4 hospital in senior living facilities admissions of experience clinically significant seniors results sleep disturbances. from medication Sleep deprivation can interactions lead to confusion, increased falls, - The Archives of Internal Medicine, December 2003 depres
Slide 25: MAXIMUS Webinar Series
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Slide 27: MAXIMUS Webinar Series
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Slide 28: MAXIMUS Webinar Series
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Slide 29: MAXIMUS Webinar Series
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Slide 30: MAXIMUS Webinar Series
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Slide 31: Providing quality care shouldn't be optional
Independent Living Homecare Assisted Living Home Health Memory Care Programs for All-inclusive Care of Skilled Nursing the Elderly (PACE) Low-Income Housing (202) Providing quality care shouldn’t be optional. 11 11 2011-505-RF-AN-V6 MAXIMUS Webinar Series
Slide 32: Thank you!
Conclusions Thank you! For more information, please email us at: webinars@maximus.com @MAXIMUS_news MAXIMUS Webinar Series