A cluster of Pittsburgh Foundation grants is now focusing on local nonprofits that support stay-at-home services across the spectrum of senior care. Historically, scores of the Foundation’s donors specified that their funds broadly support programs for the aging, rather than a particular organization. Last year, to more efficiently deploy those funds, the Foundation invited proposals from orga- nizations aiding seniors. The selected projects address home safety and services, as well as H EALTH INSURERS AND GOVERNMENT PAYERS suchasMedicare andMedicaidhaveavestedinterestinloweringthecost ofcare,especiallyforolderadults.Programsthathelp seniorsremainintheirhomesratherthangoingintonursing homescouldsignificantlyreduceoverallhealthcarecosts. Butthecustomizedmenuofsocialandmedicalservicesthat seniorsneedtoageinplacehasbeenestablishedmoreslowlythan mostwouldprefer.It’snotjustmedicalintervention.Manyseniors needahallwaygrabrail,dailymealdeliveryorasubstitutecaregiver whoprovidesabreakforafamilymember. T H E P I T T S B U R G H F O U N D AT I O N 1 0 F O R U M PLACE LIKE HO NO