Those lucky enough to grow old—including millions of Baby Boomers—face a health care system not designed to meet the real needs of very old people for continuity of care, community-based services, access to nutrition and transportation, and help for family caregivers.

Reshaping U.S. health care to meet these needs will take vision, commitment, and community.

Dr. Joanne Lynn, Director of Altarum Institute’s Center for Elder Care and Advanced Illness has pushed for a comprehensive, realistic assessment of each frail elderly person’s situation and development of a shared plan of care is the keystone of highly reliable, effective, affordable care.

A plan called Medicaring ACOs.

These plans would inform and direct a person’s care and build the delivery system that we need in advanced old age. Anchoring the effort in the communities where people live will make them more effective and will allow savings from more efficient medical care to be used to support social services.

For more information, please see the resources below.

On November 13, 2013, Dr. Lynn spoke at a JAMA meeting at the National Press Club:

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Altarum Institute resources:



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