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The Program of All-Inclusive Care for the Elderly (PACE) was designed to serve individuals with complex medical, functional, and social needs. As dementia prevalence continues to rise, PACE programs are increasingly caring for participants whose cognitive impairment impacts nearly every aspect of care delivery.
As we approach 2026, PACE organizations face a convergence of challenges:
The newly released Caregiving in the U.S. 2025 report from AARP and the National Alliance for Caregiving paints a clear and sobering picture: 63 million Americans—nearly 1 in 4 adults—are now providing care to someone with a serious health condition or disability. This represents a 45% increase since 2015 and reflects a caregiving landscape that is larger, more diverse, and more complex than at any time in our nation’s history.
Take a listen to a conversation between two industry leaders talking about training and education evolutions and strategies for success.
Aging Services providers are screaming from the mountain tops about the workforce crisis. Could it be that policy makers are finally listening?
The workforce crisis is about the inability of aging services providers to fill open positions and the lack of competitive wages.
Most definitely, a hopeful headline announced President Biden's plan investing billions to build an aging services workforce.
The time is right to seriously discuss the value of quality Elder Care in the United States. In addition, it is imperative that we intensify advocacy for improvements to strengthen services and supports for consumers. Moreover, we must enhance jobs for 4.6 million home care workers and nursing assistants.
According to estimates from the National Alliance for Caregiving, during the past year, 65.7 million Americans (or 29 percent of the adult U.S. adult population involving 31 percent of all U.S. households) served as family caregivers for an ill or disabled relative. That is 65.7 million family caregivers who are desperately needing education, training, support and help with finding available resources. We must do a better job as these numbers are increasing drastically with our aging population.
The Aging Services Industry faces a triple-whammy when it comes to workforce turnover and retention.
The first hit is the massive turnover that occurred and continues to occur because of the pandemic. Second, the turnover is on top of existing unfillable vacant positions. Thirdly, there are new entrants into the field who have no prior experience caring for older adults.
We don't want just warm bodies. Yet, providers had to scurry and pull from every corner to get to bare staffing requirements. Now, providers hang on hope that the good employees will not jump ship as the pandemic fades. What are we to do about this massive issue?
Much of the focus will continue to be on recruiting new employees, and rightly so. However, great attention needs to be given to how to keep the new, good employees. At the same time, it is critical to also maintain the spirit and engagement of the seasoned employees.
This is where people want to be.. home. It is time to examine changes needed for people stay safe and well with availability of appropriate care and services.
The Home Health/Care Industry quickly stepped up to the plate during the COVID pandemic. The demand for services ballooned almost over-night, and providers responded with a fierce determination to serve those in need.
The challenges were not that different from long term care. However, one might argue they were a bit more challenging due to the remote nature of the workforce.
COVID testing and protocol training required an enormous amount of coordination. Another challenge was the lack of testing for the home-bound elders, and discovering that in desperation for care, dishonesty of symptoms was a factor.
