Policy Briefs

The SCAN Foundation produces its own series of policy briefs, and also funds a variety of grantees to produce policy briefs on issues surrounding long-term care.

Raising Expectations: California’s 2014 Long-Term Services and Supports Scorecard Results

The 2nd State Scorecard on Long-Term Services and Supports shows California ranked 9th overall.  While California ranks higher than most states, much work remains to be done to improve affordability, quality, and coordination of services within the state’s system of care to ensure that older adults and people with disabilities can access needed services to support independence and quality of life.  The Scorecard is the first step in initiating a conversation about system performance, areas for opportunity, and the importance of continued system transformation in Califor

California Medicaid Research Institute: Service Use and Expenditures Before and After Entry into California’s LTSS Programs

The findings contained in this report demonstrate the inter-relationship between acute, postacute, and long-term services and support (LTSS) services for Medicare and Medicaid Enrollees (MMEs). LTSS includes home and community based services (HCBS) as well as care delivered as a part of an extended stay in a nursing facility (NF). This research examined the patterns of health care related events and expenditures that preceded and followed the initiation of LTSS as well as the pattern of LTSS use following a hospitalization.

Center for Health Care Strategies - Engaging Providers in Building Managed Care Delivery Systems: Tips for States

As states move to managed care delivery systems for individuals with complex needs, it is important to engage medical, behavioral health, and home- and community-based providers as well as hospitals and nursing facilities in establishing new programs. Providers can play an essential role by sharing successes and challenges with states and educating patients about the managed care program. This technical assistance brief offers tips to help states effectively engage providers in managed care program design and implementation.

Bipartisan Policy Center - America’s Long-Term Care Crisis: Challenges in Financing and Delivery

The demand for long-term care will substantially outpace the rate of growth in the U.S. economy over the next decade. An estimated 12 million Americans are currently in need of long-term services and supports (LTSS)—defined as institutional or home-based assistance with activities of daily living such as bathing, dressing, or medication management—including both seniors and persons under age 65 living with physical or cognitive limitations. In the next two decades, the U.S. health care system will face a tidal wave of aging baby boomers.

CHCS: State Approaches to Integrating Physical and Behavioral Health Services for Medicare-Medicaid Beneficiaries

Behavioral health disorders are among the most prevalent and disabling chronic conditions affecting Medicare-Medicaid beneficiaries. These individuals have complex needs that require closely coordinated services, but misalignments between Medicare and Medicaid often result in fragmented, poor quality care. This brief describes early efforts in four states—Arizona, California, Massachusetts, and Washington—to improve integration of behavioral health services for Medicare-Medicaid beneficiaries.

California Medicaid Research Institute: California County Profiles of Medi-Cal Beneficiaries Who Use Long-Term Services and Supports in 2008

Following on previous reports describing the population who uses Medi-Cal-funded long-term services and supports (LTSS), the California Medicaid Research Institute has produced a report that describes key characteristics of the population using LTSS across each of the state’s 58 counties.  This report describes spending and service use patterns across the 58 counties.  County-specific data files that accompany this report can be found by clicking here.

UCLA Center for Health Policy Research: Disconnected? Challenges of Communicating Cal MediConnect to Low-Income Older Californians

This policy brief from the UCLA Center for Health Policy Research examines some of the challenges of communicating effectively with individuals in California who are dually eligible for Medicare and Medi-Cal, and who are set to enroll in the state's eight county managed care demonstration project, Cal MediConnect. The study documents how these older adults would like to receive information and recommends strategies that might smooth the transition.

Achieving Person-Centered Care Through Care Coordination

The SCAN Foundation aims to identify models of care that bridge medical care and supportive service systems in an effort to meet people’s needs, values, and preferences. Care coordination is a central component of this vision, which ultimately leads to more personcentered care.

USC/UCLA/USF: Memorandum on External Recommendations for Standardized Assessment in the United States

This paper was produced as part of California's uniform assessment stakeholders work group by academic partners from the University of Southern California, University of California, Los Angeles, and the University of California, San Francisco.  It identifies and compares existing gold-standard recommendations for standardized assessment throughout the U.S.

USC/UCLA/UCSF: Memorandum Comparing Four States’ Comprehensive Assessment Systems

This paper was produced as part of California's uniform assessment stakeholders work group by academic partners from the University of Southern California, University of California, Los Angeles, and the University of California, San Francisco.  It provides information on four selected states' uniform assessment instruments for adults seeking HCBS.