Q: If we map senior health along a continuum, what would this look like? Which group is most at risk for a negative health event?
A: We can break down the stages of health among the senior population as follows:
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Healthy (low-risk)
Older adults who follow a healthy lifestyle
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Manageable conditions (medium-risk)
Seniors who take their medications and follow a healthy lifestyle
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Early-stage disease (high-risk)
Older adults at risk for negative health events
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Complex and chronic conditions (highest risk)
Seniors who are most at risk for complications or adverse health events
Q: What does “holistic care” mean?
A: A holistic approach to care emphasizes prevention among low-risk and medium-risk patients. When evaluating plan design, programs and benefits, plan sponsors should consider Group Medicare Advantage plans that support the full range of older adults’ physical, mental and social needs. Plans and partners that promote a holistic, preventive approach while providing access to senior-focused care benefit retirees and plan sponsors alike.
Q: Is there a direct correlation between preventive care measures and cost savings?
A: Yes. An example can be found in a study in which participants received cardiac rehabilitation and exercise training for six months. Of those classified as “high-risk” at the beginning of the study, 57% were converted to low-risk status by the end. In addition, medical claim costs declined by $1,421 per study participant compared with the previous year.7
Q: Which preventive care measures should be prioritized?
A: Cancer screenings and blood pressure screenings can make a big difference in detecting and halting the progression of chronic conditions. Exercise programs and health coaching can also help older adults prevent, delay or manage chronic disease.