In October 2020, the Urban Institute hosted a roundtable of leading experts to discuss how the US cares for older adults in the wake of the COVID-19 pandemic. Participants highlighted key areas for reform and identified potential improvements. These included redesigning Medicaid; creating a strong foundation for home- and community-based services; integrating medical care and long-term services and supports; enhancing pay, benefits, and training for direct-care workers; focusing on the quality of life of frail older adults and younger people with severe disabilities along the full continuum of care; reimagining nursing homes; recognizing racial disparities in the risk of needing care and the delivery of high-quality care; and improving data collection.