The Future of Aging and Longevity - Flipbook - Page 10
From Innova琀椀on to
Infrastructure:
Making Integrated Aging Care the Norm
Sarita A. Mohanty, MD
Kapil R. Dhingra, MD
President and CEO, The
SCAN Founda琀椀on
Physician-in-Chief, Kaiser
Permanente San Leandro
Medical Center, Greater
Southern Alameda Area, The
Permanente Medical Group
y 2030, Medicare enrollment will reach
70.2 million people as older adults’
needs grow more complex. As two
physician leaders, one in a na琀椀onal integrated
delivery system, the other in aging policy and
philanthropy, we share a convic琀椀on about the
future of aging care.
The last decade showed that care for older
adults can shi昀琀 from reac琀椀ve and fragmented to
proac琀椀ve, team-based, and person-centered, and
that whole-person care can expand healthspan,
not just lifespan. But that care s琀椀ll does not reach
everyone. Communi琀椀es marginalized the longest
are o昀琀en the last to bene昀椀t. The next decade will
be decided by whether we make value-based,
whole-person care the standard for all.
B
6
The Last Decade: Integrated
Care Models
Over the last 10 years, clinical care has evolved
toward value-based, team-based primary care
built around the needs of older adults rather than
fragmented billing codes. This reframe recognizes
that clinical outcomes cannot be separated from
social drivers, housing, nutri琀椀on, isola琀椀on, and
caregiving. Integrated, not-for-pro昀椀t delivery
systems, like the na琀椀onal integrated model Kaiser
Permanente, have worked to break down silos by
u琀椀lizing mul琀椀disciplinary, primary-care-led teams
and embedding social-needs screenings.
Kaiser Permanente cares for nearly 13 million
members across eight regions and nine states.
MIL K EN I N S T I T U T E | T H E FU T U RE O F AGI N G A N D LO N GEV I TY