Abstract
As the global population of older adults continues to expand, it is ever more urgent to identify promising programs that decrease disability. The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program, funded by the Center for Medicare and Medicaid Innovation, is designed to reduce the health impact of impaired physical function among low-income older adults by addressing both individual capacity and the home environment. Using an inter-professional team composed of an occupational therapist, nurse, and handyman, CAPABLE helps older adults attain self-identified functional goals. With clinician input, participants develop action plans to achieve their goals. Home repairs, assistive devices, and home modifications support these goals. In this symposium, we present overall results, and cost savings from a Center for Medicare and Medicaid Innovation (CMMI) project of CAPABLE, plus scaling possibilities, and current scaling of the program to new cities. The 1st presenter will report results and multivariable models of the primary outcomes from the CMMI trial. The 2nd presenter discuss the association between home hazards and disability The 3rd presenter will report an economic analysis of cost savings to Medicaid from the CAPABLE program. The 4th presenter will report results from testing CAPABLE in 3 cities in Michigan through a program called MI-CAPABLE. The 5th will present efforts by the AARP Foundation to scale CAPABLE through multiple channels and markets. The discussant will provide perspectives on barriers and opportunities to implement CAPABLE in diverse income settings and global health context.