National Reports on Issues Impacting Older Adults
National Reports
Direct Care Workforce
State Chart Book on Wages for Personal and Home Care Aides, 1999-2008  

The State Chart Book on Wages for Personal and Home Care Aides, 1999-2008, prepared by PHI, provides a first-of-its-kind look at wages and wage trends for Personal and Home Care Aides (PHCA). Prepared as a resource guide on wages for advocates and policymakers concerned with the direct-care workforce, the data underscore the problem of low and declining real wages for PHCA's, factors which contribute to workforce instability and near-poverty incomes for this high-demand workforce. (July 2009)

Building on Success: Lessons Learned from the Federal Background Check Pilot Program for Long-Term Care Workers  

The results of a seven-state pilot program to conduct background checks on long-term care workers created by U.S. Senator Herb Kohl (D-WI) and authorized under the 2003 Medicare Modernization Act. (July 2008)


Policy and Research
Long Term Care: An Essential Element of Healthcare Reform  

This publication, released by the SCAN Foundation, features more than a dozen charts and graphs that together provide a vivid picture of just how closely connected the long-term care needs of older Americans and people with disabilities are to the effectiveness of our national health care system. (December 2008)


From Isolation to Integration: Recommendations to Improve Quality in Long-Term Care  

With this report, the National Commission for Quality Long-Term Care calls for a national discussion about how we can create a new and better long-term care system. The Commission also urges the next President of the United States to provide the leadership necessary to launch a multifaceted transformation of the long-term care system so that it will be able to serve consumers for decades to come. This report emphasis the need for national solutions to the long-term care crisis so that all Americans, no matter where they live, can benefit from the system's reform. (December 2007)


Long-Term Services and Supports: The Future Role and Challenges for Medicaid  

This report draws from a body of health services research to lay out seven major policy challenges facing the Medicaid program today and identifies issues facing long-term care going forward. By gathering evidence to address key policy issues, such as integrating services, benefit design, quality monitoring and financing, it is the hope that this report will help to lay the foundation for the current and ongoing policy debate regarding Medicaid's future role as a provider of long-term care services and supports for low-income elderly and disabled Americans. (September 2007)


Trends and Projections
Food Insecurity Among Older Adults 

"Food Insecurity Among Older Adults" is the first report to examine the youngest of the baby boomers- those between the ages of 50 and 59.  This group faces the unusual challenge of being too young for Social Security and Medicare and too old for aid that's allotted for people with children.  (AARP Foundation)



Aging in Poverty: A Call to Action 
Families in Society: The Journal of Contemporary Social Services, a top-ranked professional social work journal, has released Aging in Poverty: A Call to Action. Created in collaboration with the Alliance's New Age of Aging initiative the supplement serves as a forum for critical dialogue about issues facing older adults who are living just above what the federal government considers poverty.  The supplement calls on organizations, policymakers, and social service staff to provide the services and, perhaps more important, the voice for these individuals. (2010)

Growing Older in America: The Health & Retirement Study  

This publication is about one major resource-the Health and Retirement Study (HRS)-designed to inform the national retirement discussion as the population so dramatically ages. Since its launch in 1992, the HRS has painted a detailed portrait of America's older adults, helping us learn about this growing population's physical and mental health, insurance coverage, financial situations, family support systems, work status, and retirement planning. Through its unique and in-depth interviews with a nationally representative sample of adults over the age of 50, the HRS provides an invaluable, growing body of multidisciplinary data to help address the challenges and opportunities of aging. (March 2007)


Institute of Medicine Report on Long Term Care  

In its report, the Institute of Medicine (IOM) recommends improvements in training, wages, and benefits to attract and retain direct care workers within a field known for excessively high turnover. Specifically on training, the panel recommends increasing the federal minimum training hours for Certified Nurse Assistants and Home Health Aides to 120 hours from 75, and establishing requirements for personal care attendants to ensure that training adequately prepares workers for the increasing demands being placed on them. And to improve financial incentives for workers to pursue careers in direct care, the IOM recommends that state Medicaid programs should use available means to improve pay and benefits for direct-care workers. (October 2008)


The MetLife Caregiving Cost Study: Productivity Losses to U.S. Business  

This study estimates the productivity losses to U.S. business of employees who must make workplace accommodations as a result of caregiving responsibilities. These include costs associated with replacing employees, absenteeism, crisis in care, workday interruptions, supervisory time, unpaid leave, and reducing hours from full-time to part time. (July 2006)