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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

Finn Partners Talks to William A. Haseltine About NYU Langone Health

The Managing Partner for Health at the global public relations agency Finn Partners recently interviewed ACCESS Health Chair and President William A. Haseltine about his recent book, World Class: A Story of Adversity, Transformation, and Success at NYU Langone Health. Watch an excerpt from that conversation below.  

ACCESS Health Board Member K. Ranga Rama Krishnan To Become CEO of Rush University System for Health

ACCESS Health Board member K. Ranga Krishnan will assume leadership of the Rush University System for health when the current CEO, Larry Goodman,MD, retires later this year. Please read more about the new appointment and K. Ranga Krishnan's background below, in a piece that was originally posted on the Rush website. K. Ranga Rama Krishnan, MB, ChB CEO-elect, Rush University System for Health Dean, Rush Medical College Senior Vice...

ACCESS Health Provides Health Financing Expertise in Myanmar

ACCESS Health has been engaged by the City Cancer Challenge to support the delivery of health financing projects in Yangon, Myanmar. The City Cancer Challenge is a collective movement of cities delivering quality, equitable, and sustainable cancer treatment solutions, supported by a network of global and local partners. Our work is part of the City Health Financing Lab, a specialized division of the City Cancer Challenge which is helping cities to structure their healthcare priorities into sustainable, investable models, while engaging financial and economic expert advisors, prospective...
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