Business/Economics of Aging

23 publications found.

Occupational licensing of social services and nursing home quality: A regression discontinuity approach

06/25/2019

Social service departments in nursing homes can be staff with either qualified social workers or unlicensed paraprofessionals. Using a federal regulation which requires nursing homes with 121+ beds to employ at least one full-time qualified social worker, this study used a regression discontinuity design to explore whether nursing homes just above the 121-bed threshold have social service departments with similar staffing levels and composition as just below the threshold.

  • Business/Economics of Aging
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other
  • Workforce Issues

Community-Based Organizations and Health Care Contracting: Building and Strengthening Partnerships

11/26/2018

Community-based organizations (CBOs) such as Area Agencies on Aging and Centers for Independent Living are well-positioned within their communities to improve social determinants of health (housing, nutrition, social and community engagement, and access to health care, services, and supports.)

  • Aging Network
  • Business/Economics of Aging
  • Home and Community Based Services

Private equity ownership and nursing home quality: An instrumental variable approach

10/24/2018

There is a concern that when private equity firms purchase nursing homes, they will lower quality of care in order to increase profits. Using an instrumental variable procedure to adjust for resident selection into nursing homes, this study explores whether private equity owned nursing homes lower quality of care for long-stay residents.

  • Business/Economics of Aging
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

Workforce retention and wages in nursing homes: An analysis of managerial ownership

08/31/2018

Healthcare providers can be managed by salaried managers or owner-managers that have a significant equity stake in their facility. Using data on Ohio-based nursing homes from 2005 to 2015, this study examines whether salaried or owner-managed nursing homes have higher workforce retention and whether this is driven by differences in wage rates.

  • Business/Economics of Aging
  • Long-Term Care Facilities
  • Long-Term Care - Other
  • Workforce Issues

The principal-agent problem and owner-managers: An instrumental variables application to nursing home quality

07/02/2018

This paper expands the literature on the heterogeneity among nursing home facilities by determining whether quality at for-profit nursing homes managed by owner-managers is different from those operated by salaried managers.

  • Business/Economics of Aging
  • Long-Term Care Facilities
  • Long-Term Care - Other

Cost-effective adjustments to nursing home staffing to improve quality

06/08/2018

This study holistically examines which type of nursing home staffing (nursing, social service, activities) yields better quality as measured by number of deficiencies and deficiency scores.

  • Business/Economics of Aging
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other
  • Workforce Issues

Community-Based Organizations and Health Care Contracting

12/12/2017

In 2016, the National Association of Area Agencies on Aging (n4a) received a grant from the John A. Hartford Foundation to develop a National Aging and Disability Business Center.

  • Aging Network
  • Business/Economics of Aging

Managerial ownership in nursing homes: Staffing, quality, and financial performance

06/20/2017

This paper uses facility-level data to determine whether staffing levels, quality, and financial performance is different among nursing homes operated as a nonprofit, a for-profit with an owner-manager, and a for-profit with a salaried manager.

  • Business/Economics of Aging
  • Long-Term Care Facilities
  • Long-Term Care Policy and Financing
  • Long-Term Care - Other

From rock-n-roll to rock-n-chair: Are the boomers financially ready for retirement?

06/01/2017

Just like generations before them, the baby boomers are not one group, but many. Are they financially ready for retirement? A review of the likely income and expenditure data for baby boomers indicate that some are well-prepared financially for retirement, some are not, and for many, retirement preparation is still a work in progress. This article also highlights the importance of Social Security and Medicare for about half of the retired population, and the need for proposed policy changes...

  • Business/Economics of Aging

Workforce Development in the United States: Facilitating Opportunities to Work at Older Ages

10/17/2015

Shifts in the age structure of the U.S. labor force, combined with the increased labor force participation rates (LFPRs) among older adults, require policies and programs that encourage and support employment at older ages. To further understand the enrollment, experiences, and outcomes for older workers enrolled in employment and training programs, the article analyzed data from the participants in the Senior Community Service Employment Program (SCSEP), and the Program for the International...

  • Business/Economics of Aging
  • Education
  • Workforce Issues

Global Population Aging and Labor Force Implications: Working Longer, Learning Longer

10/12/2015

Countries around the world, both more and less developed, are experiencing shifts in age structure. Delaying retirement and increasing labor force participation at older ages could increase gross domestic product while also benefiting national wealth and public debt. We visually illustrate key indicators that demonstrate the implications of population aging and why continued work at older ages is important to the economic future for many countries.Public Policy & Aging Report, 25(4),...

  • Business/Economics of Aging
  • Education
  • Global Aging
  • Workforce Issues

Challenges for the Workforce Development of Older Workers in Brazil

09/15/2015

Alongside reforms to its social security system, it is argued that older workers in Brazil should be encouraged to remain longer in the labor force and postpone retirement while being productive. A lack of educational attainment is a major challenge for Brazil. The examination of workforce policies in Brazil reveals a fragmented system for workforce development without specific funding for older worker programs.Public Policy & Aging Report, 25(4), 136-138. doi:10.1093/ppar/prv019Publication...

  • Business/Economics of Aging
  • Education
  • Global Aging
  • Workforce Issues

A global examination of policies and practices for lifelong learning

07/21/2015

Continuous learning over the life course is necessary to successfully compete in a knowledge-based global economy. While a wide range of individual and community factors play a role in whether older workers receive skills training and remain in the labor force, national policies and practices are also likely to have an influence. This nation-level study used OECD data to identify associations between participation in lifelong learning activities and outcomes such as labor force participation at...

  • Business/Economics of Aging
  • Education
  • Global Aging
  • Workforce Issues

The role of community colleges in career transitions for older workers

09/25/2014

An aging workforce, combined with the negative effects of the recent economic downturn, has increased the importance of identifying strategies to encourage working at older ages. The present study examined community college involvement in outreach and support programs for older displaced workers. This involved interviews with 27 key informants at 14 community colleges to gain an understanding of the role community colleges play in linking older students to credential or certificate programs....

  • Business/Economics of Aging
  • Education
  • Workforce Issues

What the Paradox of Change Means for the Future of Aging Services

07/17/2014

The aging services sector must foster and embrace change, evolving to meet the demands of our modern world, lest it go the way of companies like Kodak and Blockbuster-neither of which anticipated or adapted to changes in the marketplace. But when organizations change, it must be with the right strategy. If the aging services sector evolves in the wrong way, generations will feel the impact. It must ask the right questions, be clear about where it needs to go and what the issues are, innovate,...

  • Aging Network
  • Business/Economics of Aging
  • Education
  • Legal/ Advocacy

The evolution, innovation, and future of Area Agencies on Aging

07/01/2014

More than 600 area agencies on aging (AAA) provide locally responsive, coordinated services for older adults living in every community in the United States. But they face more competition for resources and steeper increases in numbers of constituents than ever before. AAAs are addressing these challenges by expanding the types of consumer groups they serve, working with a wider range of partner organizations, establishing new connections with medical communities, creating business plans, and...

  • Business/Economics of Aging
  • Home and Community Based Services

Everyone’s Talking About It, But Does It Work?

10/16/2013

In response to increasing Medicaid expenditures and consumer preferences, states are reforming their long-term care systems to provide more community-based services. One popular reform is renewed efforts to prevent unnecessary long-term nursing home placement (diversion) and to provide nursing home residents an opportunity to return to the community (transition). This research tracked outcomes for consumers and evaluated the implementation of the new program. An agency-level process analysis...

  • Business/Economics of Aging
  • Home and Community Based Services
  • Long-Term Care Decision Making

Integrated Care and the Aging Network: The Next Frontier or the End of an Era?

07/01/2013

The strong push to integrate Medicare and Medicaid services has been driven by the federal government through the Centers for Medicare & Medicaid Services, and by states, in response to two major system concerns: quality and cost. But nationwide system change has been slow and inconsistent. This article lays out the many issues that have come forward as the aging services industry experiences this change. Much about how healthcare is delivered in our nation is yet to be determined: the...

  • Aging Network
  • Business/Economics of Aging
  • Legal/ Advocacy
  • Long-Term Care Policy and Financing

Ohio CCRCs in the Economic Downturn

09/01/2011

This report examines how the economic downturn affected consumer opinions about choosing a Continuing Care Retirement Community (CCRC) and how the CCRCs in Ohio made adjustments in response to declining numbers of prospective residents. This brief report includes survey results from one-hundred sixty-five Ohio CCRCs surveyed in 2010.Full Report (PDF 630KB)

  • Business/Economics of Aging

Enhancing the SCSEP Network: Collaborations, Innovations, and Promising Practices

06/30/2011

Using a mixed methods approach, this study sought to identify innovative and promising practices in providing employment and training services to older workers. Given current economic and demographic realities, understanding the effectiveness of employment and training programs for older workers is crucial.Full Report (PDF 799KB)

  • Business/Economics of Aging
  • Workforce Issues

Disability in Ohio: Managing The Projected Need for Long-Term Services and Supports

01/18/2010

This report examines Ohio's projected long-term care needs and its implications for the state budget. In an effort to contain Medicaid long-term care expenditures several ways that demand for services and supports could be reduced or redirected to home and community based care examined.Full Report (PDF 284KB)Research Brief (PDF 378KB)

  • Business/Economics of Aging
  • Long-Term Care Policy and Financing

Ohio's Aging Workforce: Opportunities and Challenges for Ohio's Employers

08/25/2008

This report focuses on anticipated age-related changes in Ohio's workforce and the effect those changes might have on employers, employees, and society. In addition to a literature review, Ohioans and their reasons for continuing to work are featured. (Funded as part of a grant from the Ohio General Assembly, through the Ohio Board of Regents to the Ohio Long-Term Care Research Project.)Full Report (PDF 1.3MB)

  • Business/Economics of Aging
  • Demographics

Disability in Ohio: Current and Future Demand for Services

04/20/2008

In an effort to project the size of Ohio’s Medicaid long-term care expenditures between now and the year 2020, this report first projected the size of the population with severe physical and/or cognitive, intellectual and/or developmental, and mental illness disabilities. Then, assuming different rates of medical and long-term care inflations the author projected both the total Medicaid and Medicaid long-term care expenditures.Full Report (PDF 582KB)Research Brief (PDF 350KB)

  • Business/Economics of Aging
  • Demographics
  • Long-Term Care Policy and Financing