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Federal and state governments should adopt policies that:

State policymakers should establish and develop all-payer claims databases.

Public retirement systems should establish a maximum vesting period of five years for DB plans and one year for employers’ matching contributions to defined contribution or hybrid plans. 

States and localities should move toward full funding of their retirement systems. 

Systems and strategies that help people of all ages maximize function, independence, and well-being should be supported.

Medicare and Medicaid policies should result in the efficient delivery of optimal care for beneficiaries with chronic illness and disabling conditions.

Medicare and Medicaid should facilitate joint funding streams to enable the coordinated delivery of health services and LTSS for beneficiaries enrolled in

Public health officials and policymakers should recognize social isolation as a significant public health issue and social determinant of health.

Policymakers and the private sector should develop a standardized screening tool to identify individuals experiencing social isolation.

Medicare, Medicaid, and other payers should reimburse providers for the use of a standardized tool, including during “Welcome to Medicare” and Annual Wellness visits.