Improving Access To Health Systems Available To Older Patients

Guest post by Alex Carlin

As more Americans age in place, policymakers face a number of challenges in ensuring adequate healthcare access for older adults. A central concern is the growing divide between the services available to elders living in urban settings and those in rural communities. In less densely populated areas, which often have a higher concentration of seniors, limited access to medical resources and care professionals is increasing the risks of untreated disease, leading to higher costs and earlier death.

For this growing segment of the population, there are significant barriers to care, including lack of transportation, difficulty leaving home, and cost concerns. A study by Pew concluded that roughly 20 percent of elderly Americans, due to a lack of resources, are not fully addressing their health needs. Because of their circumstances they do not have the means to regularly visit their doctors, are unable to fill their prescription medications, and have to decline various medical tests because of cost concerns.

However, there are a number of new initiatives that may ameliorate some of the most serious problems facing older adults in both rural and urban settings.

Prescription delivery services, for instance, have become a popular option among senior residents in select communities. This unique model can in some cases offer lower copays than in-store purchases, and ensure more consistent medication regiments. For this reason, Pioneer recognized the North Carolina Mobile Medication Program in 2016 as the winner of that year’s Better Government Competition. The Mobile Medication Program offers a holistic approach to simplify care instructions through assessment and home visits.

Telemedicine systems likewise enable older adults to consult their primary care physician without having to leave home. This more active, conversational relationship between older individuals and their primary care physicians is a part of an effective preventive approach which facilitates easier access to medication and produces positive health outcomes.

Another program easing access to care is the U.S. Department of Health and Human Services Medicare-Medicaid Coordination Office. Established in 2010, this office is responsible for serving dual-enrollees and has been charged with eliminating regulatory barriers and improving care coordination. The Office’s FY2015 report to Congress outlines the areas of success and future focus.

The growth of the use of Electronic Health Records (EHRs) has likewise greatly improved seniors’ healthcare experience, facilitating unprecedented access to their medical history, which they or their doctors can make available to specialists and other physicians much more easily without compromising privacy. It has already been shown that using EHRS reduces redundancies in testing and prescriptions, and that EHRs can be a strong tool to improve care for aging citizens.

There are many developments in healthcare that older adults should be excited about. Still, fundamental challenges remain. Reforms are needed to facilitate better access to affordable healthcare options for seniors, and to more effectively coordinate care and tailor health approaches to best suit their lifestyles. Public policy reform and partnerships will be critical moving forward to ensure a high standard of living for elderly individuals, and access is key among any proposed solution.

Read more about our 2017 Better Government Competition and related topics, and please help us spread the word about the contest!
NOTE: Contest deadline extended – submissions accepted until 4 pm ET on March 31, 2017.

Enter Pioneer Institute's Better Government Housing Policy College Case Competition

Pioneer Institute is hosting a case competition open to all undergraduate and graduate students enrolled at a college or university in Massachusetts during winter semester 2020, focucing on housing policy improvements.

Pioneer Institute Announces Winner of 29th Annual Better Government Competition

Pioneer Institute is pleased to announce that Los Angeles Country Metropolitan Transportation Authority (LA Metro)’s program, “Operation Farm Team: Global Transportation Infrastructure Workforce Initiative” is the winner of the 29th annual Better Government Competition. The theme of the 2019 contest was, “Moving People, Moving Goods, Moving Forward,” focusing on innovations that prepare America for the future of transportation.

WINNER: The LA Metro "Operation Farm Team"

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Runner Up: Alternative Contracting Methods for Highway Construction


Runner Up: I-93 North HOV Lane Compendium Summary Draft


Runner Up: Bringing the Providence Line Into the 21st Century


Runner Up: Freight Demand Management

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Special Recognition: North Station Seaport Ferry

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