Other TSF Publications
Posted November 3, 2014
Individuals eligible for both Medicare and Medicaid are among the highest-need populations in either program. States integrating care for this population must ensure that individuals’ health and social service support needs are addressed promptly. Stratifying Medicare-Medicaid enrollees by their level of need may help states and health plans in better prioritizing and promptly addressing care management to ensure high-quality, timely care.
Posted October 23, 2014
The SCAN Foundation teamed up with Avalere Health to create an informative roadmap outlining best practices of sustainable business models for providing person-centered care to older adults with substantial health needs. Highlighting case studies from both public and private programs, this roadmap will help your organization demonstrate and communicate the value of your care delivery model.
Posted September 30, 2014
Until the passage of the Affordable Care Act (ACA), Medicare Fee-for-Service (FFS) providers had little incentive to coordinate or manage care for high-cost beneficiaries, much less understand the individual characteristics that likely drive high health care spending. Over the next decade, Medicare Advantage enrollment is expected to grow, Medicare FFS payments will increasingly be tied to value and quality, and providers will inevitably take on more risk to serve an older and likely more complex member population.
Posted September 1, 2014
Health Risk Assessments (HRAs) are health-related questionnaires conducted telephonically, in-person, online, or through the mail. Essentially, HRAs ask members to assess their health status across a variety of dimensions, such as functional impairment (e.g., activities of daily living [ADL] and instrumental activities of daily living [IADL] needs), family history, life- style, nutrition, behavior, and social support.
Posted June 23, 2014
Many states are working with health plans to develop new systems of managed care for vulnerable Medicare‐Medicaid enrollees and individuals receiving long‐term services and supports. As a result, states are developing early implementation strategies to smooth the transition of beneficiaries and providers from the fee‐for‐service environment into managed care. This brief focuses on key strategies used by Medicaid agencies in four states – California, Florida, Massachusetts, and Texas – to facilitate managed care implementation.
Posted June 18, 2014
Posted June 6, 2014
Giving low-income older adults in California a voice in their own care is critical to making a seamless transition into Cal MediConnect, a new managed care program for dual-eligibles, according to a policy note by the UCLA Center for Health Policy Research.
Posted April 2, 2014
Family caregivers are integral to helping older adults and people with disabilities remain in their homes, but caregiver stress can become a barrier. This report examines the results of a survey assessing how well caregiver needs are addressed when individuals are evaluated for state home-and community based programs. The report posits that the caregiver should be assessed directly, and identified caregiver needs should be addressed in the care plan.
Posted March 7, 2014
Both the patients’ problems and the care they receive are particularly complex and multidimensional. In caring for patients for whom a cure is unlikely, quality of life and patient satisfaction with care take on additional importance. As a result, substantive, continuing engagement of patients and their families in decision making about care becomes a goal of the caring enterprise, not just a means to other goals. And unlike many other health services, care of those with advanced illness is not a one-time intervention; caring occurs, and changes, over time.
Posted January 22, 2014
More than 300 stakeholders attended The SCAN Foundation’s 2013 California Summit on Transforming Long-Term Services and Supports (LTSS), coming together to build a deeper understanding of the policies affecting LTSS transformation and the skills needed to advocate for a service system that promotes dignity, choice, and independence. Stakeholders heard from leaders in the federal government, state legislature and administration, the media, academia, and community members who provided an overview of the political, financial, and environmental realities of LTSS in California.