intra-governmental council on long term care presented by pathwayspa wider opportunities for women...
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Intra-Governmental Council on Long Term Care
Presented by
PathWaysPA Wider Opportunities for Women
June 27, 2007
The Elder Economic Security Standard for Pennsylvania
Why theElder Economic Security Standard?
Significant increase in elders will strain mechanisms of support
Standard tool used for assessing elders’ economic well-being is deeply flawed.
The Elder Economic Security Standard:
The new measure of income adequacy allows advocates to push for policy changes
that improve living standards and economic security
The Basic Assumptions
Considers market costs of independent living – without subsidies
Begins at age 65Assumes elders are
retired
The Cost Data:Comparable - Area specific - Accepted
HousingFoodHealth care and
statusTransportationOther needs
The Elder Standard for a Single Elder, Boston Area, 2006
Monthly Expenses
Elder Person Elder Couple
Owner w/o Mortgage
Fair Market Rent 1BR
Owner w/o Mortgage
Fair Market Rent 1BR
Housing $520 $1,128 $520 $1,128
Food $206 $206 $378 $378
Transportation $16 $16 $32 $32
Health Care = Good $292 $292 $584 $584
Miscellaneous @ 20% $207 $328 $303 $424
Elder Standard Per Month
$11,241 $1,970 $1,817 $2,546
Elder Standard Per Year
$14,890 $23,645 $21,802 $30,557
Elder Standard vs. Other Benchmarks: One Person Household, Boston Area
$14,890
$12,024
$9,800
$17,470
$23,645
Federal Poverty Line
Average Social Security for retiredworker
Elder Standard (Owner w/o mortgage,public transit, good health)
Median Household Income 65+,Boston
Elder Standard (Fair mkt. rent, publictransit, good health)
Elder Standard vs. Other Benchmarks: Two Person Household, Boston Area
$30,557
$21,802
$13,200
$17,470
$19,776
Federal Poverty Guideline
Median Household Income 65+,Boston
Average Social Security
Elder Standard (Owner w/o mortgage,public transit, good health)
Elder Standard (Fair mkt rent, publictransit, good health)
The Impact of Long-Term Care at Home in Massachusetts
Need for Care
Low MediumHigh with Adult Day
Health
High w/o Adult Day
Health
Hours/ Week
6 hrs 16 hrs 36 hrs 36 hrs
Cost/ Month
$663 $1,729 $3,028 $3,680
Cost/ Year
$7,955 $20,753 $36,331 $44,161
Summary of Findings
High housing costs equal one-third to half of total expenses
Health care is 2nd largest expense
Long-term care can more than double an elder’s expenses
Using the Elder Standard
Education
Policy and Advocacy
Financial Security
Proposed Action Plan
Inform EldersLegislatorsAdministration
IdentifyGapsOpportunities
Proposed Action Plan
Promote Legislative/
Administrative Action
Change Future Outlook
Timeline
September 2007
Present draft Elder Standard tables for 5 sample counties Examine proposed options for tabulating long-term care costs
December 2007Release final version of The Elder Standard for Pennsylvania
Next Steps/ Comments/ Questions
For more information, please contact:
Jacquie Patterson: [email protected]
Marianne Bellesorte:
Ramsey Alwin