In this ASA Aging Today article from March-April 2016, former Assistant Secretary for Aging Kathy Greenlee makes the compelling case that now is the time that the aging and disability networks must adapt to a “new world order” regarding service delivery and reimbursement. Policy and payment changes in the wider health care arena have introduced new incentives for integrated medical and social services, and are opening up opportunities for community-based organizations (CBOs) to seize new sources of organizational strength and sustainability.
But the journey will not be without its challenges. Greenlee acknowledges that stagnating levels of traditional CBO funding will mean many organizations will have to take a hard look at how they have been operating, and embrace new business procedures and partnerships that can push them to ever greater heights of service capacity and care quality excellence. Strategies around building business acumen are highlighted as a critical step on the path to successful and sustainable integrated care.