A working group developed a goal statement and four Essential Attributes of a high-quality system of care that supports system transformation and evaluation, and is from the vantage point of adults with complex care needs. This primer document describes the Essential Attributes of this system and the core elements detailing how delivery systems should function to meet the goal, and key definitions of concepts. Collectively, they represent the milestones that, when regularly monitored and measured, can track progress toward the goal.
As California’s Medicare-Medicaid demonstration becomes more established, a clearer picture is emerging. Over the last 18 months, Field Research Corporation and the University of California have completed numerous evaluation activities to better understand the experiences of dual eligible individuals (both those who enrolled in Cal MediConnect and those who opted out), health plans, health systems, and community-based providers. In this Perspectives, Dr. Chernof examines this rich body of work, identifying successes and what needs to improve as the demonstration moves forward.
The number of individuals age 65 and older across the nation is projected to double in the next 50 years, from over 45 million in 2015 to over 95 million in 2065. California's age 65 and older population stands at 4 million, which is projected to double to over 8 million by 2030. This brief offers a basic primer on long-term services and supports (LTSS) in California within a national context. LTSS, also known as long-term care (LTC), provides assistance to people with disabilities of all ages, including older adults who need help with daily activities.
On June 27, 2016, California Governor Edmund G. Brown, Jr. signed California’s 2016-17 budget. The enacted budget includes program modifications that impact the health and human services delivery system serving older adults and people with disabilities.
Making the business case for new modes of care requires a comprehensive financial analysis, including calculating the return on investment (ROI). The ROI Calculator is designed to help health care organizations and others develop and operate person-centered care models that serve high need older adults and are sustainable.
A version of the ROI Calculator with an example scenario is also available.
Person-centered care works for older adults with chronic health conditions and daily living needs, but how does it apply to health care organizations? Is it financially sustainable? Is there a return on investment? This report, complemented by an issue brief – Person-Centered Care: In Today’s Health Care Environment, the Business Case Is Stronger than Ever – shows how person-centered care can result in fewer hospitalizations and emergency room visits while increasing one’s quality of life.