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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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