Q: What is the next big issue, post-CLASS Act?

A: This is an era of transformation. What we're saying to our members is over the next decade it's probably going to be the greatest change that our members have encountered in generations.

Q: What will be needed?

A: The triple-aim we've got to really figure out is how to focus on resident-centered care. We're going to have to figure out how to create much better community approaches to services. And the result of that, we already know through smaller pilot efforts, is that you can increase people's quality of life at less cost. That's really the objective of the next decade.

Q: LeadingAge just celebrated its 50th anniversary. What do you see as opportunities and challenges for the association's next 50 years?

A: No. 1 is the transformation. No. 2, we've got to look at ways to finance everything we're doing differently. We're really focusing on human resources, as we call it, the “talent side” … how to attract and retain the next generations. And interestingly enough, how to attract and retain current generations of people who might normally think of themselves as retired but who have an important role to play.