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Wayne Thiebaud, Levee Farms, 1998
Art © Wayne Thiebaud/Licensed by VAGA, New York, NY


318.9 million


3.79 million square miles

Capital City:

Washington, DC
Seventy percent of healthcare costs in the US are devoted to long term care.

Healthcare spending accounts for almost eighteen percent of the GDP of the United States. More Americans than ever are struggling to manage chronic and non communicable diseases and pay for ongoing care. As part of our effort to make high quality care available for seniors around the world, ACCESS Health United States has documented models of excellence in elder care and optimal aging in the United States, including person directed care for those living with dementia, caregiver support and education, age friendly communities, home and community based primary and palliative care, aging in place and community, care coordination, home and community based emergency medicine, housing, technology, and lifelong learning. The materials have been disseminated widely and will form the basis of a new book on elder care in the United States.

Focus Areas

Healthcare Delivery Systems

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Our focus in the United States is on improving the quality and affordability of elder care. The population aged eighty and older is growing the fastest and has the highest incidence of chronic conditions, functional limitations, and cognitive decline. The demand for caregivers will increase significantly. The elderly will consume an increasingly large portion of health spending. We identify best practices in elder care, including among providers of geriatric, long term, and chronic care; aging in place and aging in community; healthcare delivery at home; senior living facilities; research; and policy and advocacy organizations. We explore how service providers can learn from each other and improve access to high quality and affordable care.

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Program Areas

Elder and Long Term Care

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According to estimates from the US Department of Health and Human Services, people aged sixty five and older will represent nineteen percent of the population by 2030, up from just over twelve percent in 2000. And a 2013 survey by the Pew Research Center found that seventy five percent of adults in this age group are living with a chronic condition, such as high blood pressure, diabetes, or heart disease. With four in ten Americans currently tasked with the care of their elderly and chronically ill relatives, the US healthcare system urgently needs to adjust to meet the rapidly growing demand for high quality and affordable elder and tong term care. ACCESS Health United States helps practitioners and policymakers locate, learn from, and scale up pockets of excellence in elder and long term care.

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From the Blog

Unlocking Solutions to America’s Healthcare Crisis

This post originally appeared on 

Health is a human right, enshrined in the Alma Alta declaration by the nations of the world. After satisfying the need for food, after satisfying the need for shelter, the next thing that every human wants to satisfy is the need for health: their own health, the health of their children, the health of their parents, and the health of their communities.

Here in the United States, health disparities are very noticeable. While we are home to some of the finest healthcare institutions in...

Aspen Ideas Health Festival Hosts ACCESS Health Chair and President William A. Haseltine

ACCESS Health President William A. Haseltine spoke at the Aspen Ideas: Health Festival about the importance of patient centered care and ensuring that every single person and organization within the healthcare system works toward a common goal to improve patient care and the patient experience. In his discussion, he highlights best practices both in the United States and abroad and underscores how healthcare systems must shift their priorities to improve the quality, accessibility, and affordability of care. View the discussion by clicking the image below.  

How Technology Can Transform Patient Care

This post originally appeared on the Aspen Ideas Festival blog. The health care system in the United States is inefficient. Our country spends more on health care than any other developed nation. Eighteen percent of GDP goes toward health — more than three trillion dollars each year, with the number expected to double by 2027.What do we get for all that spending? Very little by international standards. Today, the United States ranks thirty-fifth in health outcomes among the 195 nations of the world. When measuring things like infant mortality, maternal mortality, and death...
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Modern Aging: inspiring and empowering entrepreneurs of all ages and backgrounds to create businesses to serve the needs of the elderly.
We are no longer active in United States. Projects and resources are available in the archive.