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State Saves $400 Million
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Since gaining a federal O K to
use Medicaid dollars for home-and
community-based care outside o f
nurses, Oregon has saved $400 m il
lion on services that are preferred by
seniors and people with disabilities.
This commentary also explains where
Oregonians can learn more.
By Jim Wilson
I f $1 m illion would provide
home-delivered meals to 1,100 se
nior citizens for a year, or a year’ s
foster care for 250 abused children,
then think what $400 m illion would
do
That is the amount the state has
saved since 1981 by helping M edic-
aid-eligible seniors and people with
disabilities receive care in their own
homes or in options such as adult
foster care and assisted living fa c ili
ties.
This is one o f the reasons Ore
gon is considered an innovative state.
Consider:
Oregon was the first state to win
federal approval to provide care to
people where they retain greater in
dependence while costing the tax
payers less Because home- and com
munity-based care costs a third to
halfofnursing facilities’ , the savings
now amount to about a m illion d ol
lars a week
Even today, with most states
having followed Oregon's lead, we
still have about a fourth o f the na
tion's community-based facilities
with only I percent o f its population.
Oregon was just chosen to help
with a U S. Administration on Aging
project to help other states improve
the quality and reduce the cost o f
publicly financed care for seniors
and people with disabilities.
That these care options save
money is good. That people who are
elderly or disabled prefer them is
even better.
Recently, I talked w ith E.H.
"B in g ” Bingenheimer, who lives at
R ackleff Elouse, an assisted living
facility in Clackamas County. Bom
near Lebanon in 1893, a year that
AlexanderGraham Bell and Thomas
Edison were in the news, Bing says
he treasures his independence.
“ I want to live my own life, “ He
told me “ Ify o u were born out in the
open, you want to live out in the
open.”
A t R ackleff House, he enjoys
the privacy o f his own apartment,
which includes a kitchenette, as well
as access to regular meals in the
dining room, many activities, and
attractively landscaped courtyard and
nursing care i f he needs it. Residents
furnish their private apartments with
their own furniture and hang person
al mementos on their walls.
Bing and others have told us
they prefer to live their last years
outside o f an institution. Oregon’s
commitment to promoting people’s
independence, dignity and quality o f
life has made this the only state in
which fewer Medicaid-eligible se
niors are living in nursing facilities
today than 10 years ago.
Oregonians like Bing who ben
efit from home- and community-
based care are often older than peo
ple expect: Seven Oregonians who
Jester Named Superintendent
Of MacLaren School
Robert S. Jester, who has spent
his career as a juvenile corrections
counselor and manager in Oregon,
is the new su p e rin te n d e n t o f
MacLaren School. His annual sala
ry is $69,180.
Jester, 44, had been acting su
perintendent at the school for male
juvenile offenders since November
1992.
Announcing the appointment,
Rick H ill, juvenile corrections man
ager o f the Children’s Services D i
vision, noted Jester has accepted
increasingly responsible positions
over the past 23 years.
“ Bob has managed the camp
system as well as the parole unit and
has a broad perspective on Oregon’s
juvenile justice system,” H ill said.
His long association with MacLaren
and other Oregon juvenile institu
tions has given him broad under
standing o f issues."
Jester began his juvenile cor
rections career in 1972 at MacLaren
as a practicum student from Oregon
State University. Jester sees more
pressure on juvenile institutions
now.
“ This is a time o f challenge and
change, a time o f intense focus on
juvenile justice in Oregon,” Jester
said. “ The public w ill be looking
closely at how we operate our insti
tutions for juvenile offenders and
the results we achieve.”
Principal issues that face Ore
gon’ s juvenile justice system are:
Senate B ill I , which separatesjuve-
nilejustice from the C hildren’s Ser
vices Division and names it the O r
egon Youth Authority, and Ballot
Measure 11, which treats 15 -to -17-
year-old youths as adults for certain
offenses that carry mandatory sen
tences.
MacLaren could see its current
population o f about 320 young men
increased by 100 during the 1995-
97 biennium as the result o f Ballot
Measure 11. The juvenile justice
system is predicted to absorb an
additional 450 juvenile offenders
during the two-year period begin
ning in July.
are 100 or older live in their own
homes or apartments, receiving in-
home services such as help with c lean
ing, shopping and bathing Another
49 Oregonians ages 100 and up live
in adult foster homes or assisted liv
ing facilities.
But this isn’t just a story about
benefits for people who are eligible
for Medicaid. The opposite is true
By encouraging home- and com-
m unity-based care, Oregon has
broadened options for people who
pay their own expenses from savings
or from insurance. That people want
to retain their independence and dig
nity is reflected in the fact that 80
percent o f residents o f assisted living
facilities, such as where Bing lives,
and 70 percent o f adult foster-care
residents are private-pay.
However, even though Oregon
has long been a leader in promoting
living and care options for seniors
and people with disabilities, Orego
nians still may have trouble sorting
out the alternatives and then making
choices.
The state Senior and Disabled
Services Division may be able to
help. We have a toll-free number for
families to call to learn where they
can receive information locally: I
(800) 282-8096 I f the choice is a
community-based facility, then we
can also help with decisions includ
ing offering our free consumer book
let, “ A Guide to Adult Foster Care.”
Jim Wilson is administrator o f
the Senior and Disabled Services
Division in the Oregon Department
o f Human Resources.
PDC
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