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Ohio sees improvements in caring for elders, but challenges anticipated

Ohio has made considerable progress in caring for its growing older population, but a new report from Miami University's Scripps Gerontology Center finds the state still faces challenges meeting the future needs of the population.

“We’ve made great progress, but it’s not enough,” said Robert Applebaum, Scripps researcher and director of the Ohio Long-Term Care Research Project.  “By 2040, the state’s older population with severe disability is going to double. The road ahead is even more difficult than the path already traveled.” 

In the last 15 years, despite Ohio’s older population increasing by 27 percent and the age 85 and older growing by 50 percent, the Medicaid long-term services and support budget grew by just 7 percent. The minimal budget increase was due to a change in Ohio’s approach to delivering long-term care services, with a significant and planned move toward more home-care services. In 1993, 90 out of 100 older adults receiving long-term care under Medicaid were in nursing homes. In 2011, the number of older people on Medicaid receiving care in institutions was nearly the same as people who received home and community-based services (55 institutions/ 45 home care).

Despite substantial improvement in Ohio’s long-term service system, the study finds that Ohio’s nursing facilities served a greater number of people under age 60 in 2012 (13 percent) compared to 1994 (4 percent). Researchers found while the number of Medicaid residents over the age of 60 dropped by 11 percent, the number of Medicaid residents under the age of 60 increased 26 percent.

The report includes recommendations for Ohio’s legislators to help the state meet the challenges of caring for an aging population by highlighting opportunities for innovation and change.

This study was funded by a grant from the Ohio Department of Aging and by a grant from the Ohio General Assembly through the Ohio Board of Regents.  

The findings and recommendations are published in a full report titled “Maybe Elephants Can Dance: Two Decades of Progress in Delivering Long-Term Services and Supports in Ohio.”   The report is available online.    

Written by Matt Cable, Miami University Scripps Gerontology Center, cablema@MiamiOh.edu

Locations
Luxembourg
West Chester
Middletown
Hamilton
Oxford
  • Luxembourg
    Luxembourg

    John E. Dolibois European Center, Luxembourg

    One of Miami's oldest continuous study abroad programs, the Miami University John E. Dolibois Center (MUDEC) in Luxembourg offers students the opportunity to enroll in Miami classes taught by European-based and Ohio-based Miami faculty. Students enjoy a unique combination of first-class academics, engagement in the local community, and various faculty-guided and independent travel opportunities.

    Contact and emergency information for the Luxembourg Campus. Starting with general contact info on the left; additional contact and emergency information on the right.

    Château de Differdange
    1, Impasse du Château
    L-4524 Differdange
    Grand Duchy of Luxembourg
    luxembourg@MiamiOH.edu
    MiamiOH.edu/luxembourg

    217-222 MacMillan Hall
    531 E. Spring Street
    Oxford, Ohio 45056, USA

    Directions

    Main Operator: 011-352-582222-1
    Oxford-based Coordinator: 513-529-5050
    Emergency info: MiamiOH.edu/emergency

  • West Chester
    West Chester

    Voice of America Learning Center

    Located midway between Cincinnati and Dayton along I-75, the Voice of America Learning Center (VOALC) offers undergraduate and graduate courses and programs drawn from Miami's Regional and Oxford campuses. Home to Miami's MBA program, the Learning Center provides ready access to graduate programs for area educators and courses leading to the BIS degree for undergraduates.

    Contact and emergency information for the Voice of America Campus. Starting with general contact info on the left; additional contact and emergency information on the right.

    7847 VOA Park Dr.
    (Corner of VOA Park Dr. and Cox Rd.)
    West Chester, OH 45069
     
    voalc@MiamiOH.edu
    MiamiOH.edu/voalc

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    Main Operator: 513-895-8862
    (From Middletown) 513-217-8862
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  • Middletown
    Middletown

    Middletown Regional Campus

    Nestled on 141 acres near I-75, Miami University Middletown offers bachelor's degrees, associate degrees, and beginning coursework for most four-year degrees. Nearby Greentree Health Science Academy immerses Miami's nursing and health information technology students in the health care experience while taking classes.

    Contact and emergency information for the Middletown Campus. Starting with general contact info on the left; additional contact and emergency information on the right.

     4200 N. University Blvd.
    Middletown, OH 45042
    regionalwebmaster@MiamiOH.edu
    regionals.MiamiOH.edu

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    Main Operator: 513-727-3200
    (Toll-free) 1-86-MIAMI-MID
    Office of Admission: 513-727-3216
    Campus Status Line: 513-727-3477
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  • Hamilton
    Hamilton

    Hamilton Regional Campus

    A compact, friendly, commuter campus, Miami Hamilton offers bachelor's degrees, associate degrees, and beginning coursework for most four-year degrees. Small class sizes, on-site child care, and flexible scheduling make Miami Hamilton attractive to students at all stages of life and career.

    Contact and emergency information for the Hamilton Campus. Starting with general contact info on the left; additional contact and emergency information on the right.

    1601 University Blvd.
    Hamilton, OH 45011
    regionalwebmaster@MiamiOH.edu
    regionals.MiamiOH.edu

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    Main Operator: 513-785-3000
    Office of Admission: 513-785-3111
    Campus Status Line: 513-785-3077
    Emergency info: regionals.MiamiOH.edu/emergency

  • Oxford
    Oxford

    Miami University, Oxford Ohio

    Nationally recognized as one of the most outstanding undergraduate institutions, Miami University is a public university located in Oxford, Ohio. With a student body of 16,000, Miami effectively combines a wide range of strong academic programs with faculty who love to teach and the personal attention ordinarily found only at much smaller institutions.

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    501 E. High St.
    Oxford, OH 45056

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    Main Operator: 513-529-1809
    Office of Admission: 513-529-2531
    Vine Hotline: 513-529-6400
    Emergency info: MiamiOH.edu/emergency