Health care and planning that is based on a person’s values and preferences
Californians with Medicare and Medi-Cal have many choices to get the health coverage they need, but choices vary by county. This brief outlines available choices across the state and describes the My Care, My Choice web resource.
Summary of the Enacted 2019-20 Budget: Impact on California’s Older Adults and People with Disabilities
On June 27, 2019, California Governor Gavin Newsom signed California’s 2019-20 budget. The budget reflects new program investments for older adults and people with disabilities, including staff resources for the state’s Master Plan for Aging.
On June 10, 2019, California Governor Gavin Newsom issued Executive Order N-14-19, calling for a California Master Plan for Aging. This brief provides a high-level overview of the Executive Order.
In this Perspectives, Dr. Chernof discusses the Administration's plan to develop a California Master Plan for Aging (Master Plan). He frames four elements critical to the Master Plan’s success and asks all of us to reflect on what truly matters to older Californians and their families.
Developing California’s Master Plan for Aging: Examples from Other States and Relevant California Efforts
California Governor Newsom called for the development of a Master Plan for Aging, which marks a historic step. The governor stated this plan will serve as a blueprint to prepare California for future demographic changes. In this policy brief, we look at examples from other states and relevant California efforts.
California’s Master Plan for Aging: Transforming a Fragmented System Through Statewide Leadership and Coordination
The Master Plan for Aging provides a historic opportunity to design a system that best meets the needs of older Californians of today and tomorrow. This brief describes how the state can better organize resources to meet population needs through focused, coordinated leadership and system-wide planning.
May Revision of the 2019-20 Proposed Budget: Impact on California’s Older Adults and People with Disabilities
On May 9, 2019, California Governor Gavin Newsom released the May Revision of the 2019-20 budget. The revision includes modest program changes that impact services for older adults and people with disabilities, including staff resources for the state’s Master Plan for Aging.
Blueprint for Health Plans: Integration of CBOs to Provide Social Services and Supports (Executive Summary)
The Blueprint for Health Plans (Executive Summary) highlights successful partnerships for delivering social services and helps identify future opportunities.
Blueprint for Health Plans: Integration of CBOs to Provide Social Services and Supports (Full Report)
The integration of community-based organizations (CBOs) into health plan networks, on both a formal and informal basis, can help meet the needs of older adults with complex medical and social needs. The Blueprint for Health Plans (Full Report) highlights successful partnerships for delivering social services and helps identify future opportunities.
In this Perspectives, Dr. Chernof reflects on the Master Plan for Aging panel discussion following the February 5 film screening of Lives Well Lived in Sacramento. At the event, local policymakers vocalized that without a strategy to meet the needs of all aging Californians, the state will confront mounting challenges.
On January 10, 2019, Governor Gavin Newsom released the 2019-20 proposed budget. Learn which modest program changes would impact services for older adults and people with disabilities.
Drawing from four years of Cal MediConnect evaluation results, this brief highlights recommendations for policymakers and health plans to consider in improving integrated systems of care for people with Medicare and Medicaid.
Today, health plans have flexible benefit tools in the Medicare Advantage program. With data analysis by Anne Tumlinson Innovations, this slide deck discusses how health plans can deploy these tools and adopt innovations to serve a rapidly growing group of members age 75 and older.
In this Perspectives, Dr. Chernof discusses the Foundation's efforts over the past 10 years to better the lives of vulnerable older adults and families. He also reflects on the Foundation's priorities for 2019 and beyond.
In this open letter, Dr. Chernof commends Governor-elect Gavin Newsom on his commitment to develop "a master plan for aging with dignity" in California. Dr. Chernof lists key areas that a master plan must address, such as incorporating strategies for older adults to live and age in the place they call home and providing pathways for older Californians to access affordable health care.
In this Perspectives, Dr. Chernof discusses our eighth annual California Summit on Long-Term Services and Supports (LTSS), which focused on strategies to strengthen advocacy and raise our collective voices. He also reflects on the two
Perspectives: Dignity and Respect Through Better Information – My Care, My Choice Web Tool for California’s Dual Eligibles
In this Perspectives, Dr. Chernof discusses The SCAN Foundation’s web-based tool to empower California’s dual eligibles with a better understanding of their care choices, based on both their location and the medical and supportive services
In this Perspectives, Dr. Chernof discusses the need for California’s lawmakers and next governor to develop a master plan for aging, accentuated by the results of a statewide survey revealing voter’s opinions on critical aging
Summary of the Enacted 2018-19 Budget: Impact on California’s Older Adults and People with Disabilities
On June 27, 2018, Governor Brown signed California’s 2018-2019 budget. In this fact sheet, read a summary of budget items impacting older adults and people with disabilities.
May Revision of the 2018-2019 Budget: Impact on California’s Older Adults and People with Disabilities
On May 11, 2018, California Governor Edmund G. Brown, Jr. released the May Revision of the 2018-2019 budget. While it includes a significant increase in revenues and modest program investments for older adults and people with disabilities, the state still has no overarching master strategy to meet the needs of an aging California. Read more in this fact sheet.
The CHRONIC Care Act was passed and signed on February 9, 2018. This policy brief provides a summary of key components of the law.
In this Perspectives, Dr. Chernof reviews what's missing from Governor Brown's proposed 2018-2019 budget. It outlined modest adjustments to programs impacting older adults and people with disabilities and focuses on building the financial stability of the state, paying off debt, and strengthening elements of our infrastructure. It fails, however, to outline solutions to the challenges facing California’s older adults and people with disabilities.
On January 10, 2018, California Governor Brown released the proposed 2018-2019 budget. In this fact sheet, learn what modest program changes impacting older adults and people with disabilities were included, and where the budget falls short.
Picking Up the Pace of Change: California’s Results in the 2017 Long-Term Services and Supports Scorecard
California maintained its rank at No. 9, but it must do more to keep up with the growth of the older adult population. This brief highlights trends in California’s performance and opportunities to improve its rate of progress.
The number of older Americans with complex care needs is projected to jump from 6 million to nearly 16 million in the next couple decades, creating different stresses on our health care system. In this
Immediately following the 2016 presidential election, Dr. Chernof wrote a letter to then President-elect Trump describing five action items for supporting older Americans.
In this Perspectives, Dr. Chernof discusses the need to redefine current health care quality measures, especially from the vantage point of those needing care and not just for those who provide and pay for it. In support of this goal, three new resources are available to help frame measures and advance this work.
Since inception six years ago, enrollment for The SCAN Foundation’s California Summit on Long-Term Services and Supports (LTSS) has doubled. The LTSS Summit provides a rare opportunity for service providers, aging and disability advocates, health
This policy brief provides an overview of the various types of quality measures and how they are created, why quality measures matter when caring for adults with complex care needs in integrated systems, and how stakeholders can influence the quality measure development process.
What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs (Full Report)
Adults with complex care needs are currently often served by a number of providers and systems that do not talk to each other or coordinate efforts, making it difficult for individuals to receive high-quality care. Efforts to transform delivery systems and associated quality measurements for this vulnerable population are also fragmented. The SCAN Foundation convened a working group to develop consensus on the Essential Attributes of a high-quality system of care that supports system transformation and evaluation. This full report includes the abbreviated literature review of existing frameworks.
What Matters Most: Essential Attributes of a High-Quality System of Care for 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 Medicare moves away from fee-for-service and utilization-based managed care to value-based purchasing, addressing older adults’ health in light of functional needs is becoming a business necessity. In this Perspectives, Dr. Chernof recognizes delivery systems that champion person-centered care as the practical way of the future and introduces two resources to help health systems leaders justify and ramp up greater adoption of person-centered care models.
Person-Centered Care: In Today’s Health Care Environment, the Business Case is Stronger than Ever (Issue Brief)
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 issue brief, based on a full report – Person-Centered Care: The Business Case – shows how person-centered care can result in fewer hospitalizations and emergency room visits while increasing one’s quality of life.
In this Perspectives, Dr. Chernof highlights the similarities across each set of recommendations and advocates for the multi-pronged approach put forth by all groups—one that clarifies personal responsibility, outlines private market solutions, addresses long-term needs, and refocuses Medicaid’s role.
Perspectives: Navigating Change Toward Person-Centered Care — Themes from the 2015 California Summit on Long-Term Services and Supports
Our annual summits create space for thought-leaders to learn and dialogue with each other about critical windows of opportunity, and how best to transform California's long-term services and supports ystem. Read Dr. Chernof's Perspectives on some key areas for system transformation that were discussed at the 2015 LTSS Summit.
Perspectives: Transforming the System of Care for Older Adults – The Affordable Care Act Five Years Later
Read Dr. Bruce Chernof's Perspectives exploring progress on eight areas from the Affordable Care Act to help older Americans get the right care at the right time by the right providers.
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.
A new report and series of briefs from Avalere Health commissioned by The SCAN Foundation explore how gathering and using non-medical data to better coordinate care for high risk Medicare beneficiaries can improve person-centered care and be financially sustainable for health plans.
To succeed in this era of health system transformation, plans and providers bearing risk – in an accountable care organization (ACO) for example – will need strategies for managing a broad array of care needs for high-risk beneficiaries across multiple settings of care. Download this fact sheet to learn more.
In this Perspectives, Dr. Chernof discusses California's ranking in the 2014 Long-Term Services and Supports (LTSS) State Scorecard. The LTSS State Scorecard is published by AARP Policy Institute every three years, with support from The Commonwealth Fund and The SCAN Foundation.