Our extensive work on retirement policy covers the many ways the aging of America will trigger changes in how we work, retire, and spend federal resources.
The number of Americans age 65 and over will rise from about 13 percent in 2008 to 20 percent by 2040. The recession dealt a heavy blow to retirement accounts, leaving many older adults worried about their retirement security. Read more.
For the past three years, Medicare, Medicaid, and private payers in eight states have been paying certified medical home practices monthly care management fees and providing additional support (e.g., data feedback, learning collaboratives, practice coaching) through the Multi-payer Advanced Primary Care Demonstration. In its first year, the demonstration included 3,800 health care providers, 700 practices, and 400,000 Medicare beneficiaries, and produced net savings for the Medicare program that totaled $4.2 million. Interviewees reported that demonstration payments provided needed support to help practices transform the way they deliver care – by adding nurse care managers, adopting electronic disease registries, and enhancing access to care after hours, as well as making other changes.
Across the United States, both the elder population-those older than 64-and the younger population-those younger than 20-will grow over the next 15 years. The growth of the elder population is ubiquitous, and the growth of the younger population is more geographically variable. We consider the implications of this growth for generational balance across the United States, using an average scenario of America's future. Areas with growing populations will need to invest resources in a young population growing apace and an elder population growing faster than the overall population.
The Mapping America's Futures project has developed multiple series of population projections for 740 commuting zones in the United States by age, race, and ethnicity. This brief explains the assumptions and methodology of our population projections.
The California State Teachers’ Retirement System has been grossly underfunded for the past decade. State policymakers have responded by cutting plan benefits for new hires and raising teachers’ required plan contributions. These changes, however, have undermined teachers’ retirement income security. Only 35 percent of new hires will receive pensions worth more than the value of their required plan contributions. Most new hires would have better financial outcomes if they could opt out of the mandatory retirement plan and invest their contributions elsewhere. Additional plan reforms should focus on changing the benefit formula to distribute pensions more equitably across the workforce.
Older adults with physical or cognitive limitations live in a variety of settings from traditional community housing to nursing homes. This analysis of data from the 2011 National Health and Aging Trends Study provides new estimates of the older population across settings and examines unmet needs for assistance. Of 38.1 million Medicare beneficiaries ages 65 or older, 2.5 million live in retirement/senior housing communities, nearly 1 million in independent- and 1 million in assisted-living settings, and 1.1 million in nursing homes. The prevalence of assistance is higher and physical and cognitive capacity lower in each successive setting. Unmet needs are common in traditional housing (31%), but most prevalent in retirement/senior housing (37%) and assisted living settings (42%). Different resident characteristics account for some of the differences across settings, but after controls for individual characteristics, those in retirement/senior housing still have a higher likelihood of unmet needs than those in traditional community. Prevalent unmet needs among older adults with limitations across all settings warrant further investigation and monitoring.