Healthy Aging pp 367-375 | Cite as

Healthcare Systems and Healthcare Funding Supporting Healthy Aging

  • Paul MulhausenEmail author


Historically healthcare systems have been built around and have emphasized the treatment of diseases. Health Systems in the United States (USA) have traditionally promoted service lines that are focused on disease, including cancer care, cardiovascula disease, and joint replacement programs. Only recently have healthcare systems begun to make efforts to promote good health and prevent disease and disability. In the USA, these changes are being promoted by the payers (especially Medicare) in the hope that more attention to preventing disease and disability will lead to lower healthcare costs. Efforts to provide and pay for health promotion and healthy aging should be based on the best available evidence and should include not only biomedical interventions but also psychosocial interventions, which in many circumstances are stronger determinants of good health. Effective health promotion requires ongoing engagement with patients and caregivers in a fashion that can’t be expected to succeed in a care model where prevention is an afterthought or infrequently addressed in care delivery. Healthcare systems and healthcare funders need to invest in services and solutions that address both the social and behavioral determinants of health while promoting healthy aging for both those who are younger now and will be older in the future and those who are already older but will be older still in the future.


Medicare Wellness Prevention Healthy Aging Coaching 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Telligen,IncWest Des MoinesUSA

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