publication

Person-Centered Care

Health care and planning that is based on a person’s values and preferences

    On January 10, 2023, Governor Gavin Newsom released California’s 2023-24 proposed budget. The proposal includes program changes that impact services for older adults and people with disabilities.

    Enacted on June 30, 2022, California’s 2022-23 budget addresses longstanding system challenges related to health care, long-term services and supports, workforce, and housing for older adults, people with disabilities, and their caregivers. It includes a $17 billion broad-based relief package and continued investment in implementing the Master Plan for Aging. 
    In this February 2022 Perspectives, Dr. Mohanty answers several questions regarding The SCAN Foundation’s aims and progress during during her first year of leadership.
    On January 10, 2022, Governor Gavin Newsom released the 2022-23 proposed budget. The proposal includes several program changes that impact services for older adults and people with disabilities.
    At the final week of our 2021 Forum, Amplifying All Voices in Aging, we were joined by founder of RENT Poet/Poet Laureate Brian Sonia-Wallace. Complementing our focus on technical aspects of the work we do to transform care for older adults, Mr. Sonia-Wallace authored a poem in real time to bring us back to the heart of the matter: What do we mean by “aging well” and “aging equitably”? Read the poem and learn more about RENT Poet.
    This brief, updated from August 2020, highlights states that have a Master Plan for Aging, provides examples of key elements of those plans, and discusses how states without a Master Plan can get started. A Master Plan for Aging is a blueprint that: a) includes planning for 10 or more years; b) is often led by a governor with other executive and legislative leaders; and c) is developed to guide the restructuring of state and local policy, programs, and funding toward aging well in the community.
    Enacted on July 12, 2021, California’s 2021-22 budget addresses longstanding system challenges related to health care, long-term services and supports, workforce, and housing for older adults, people with disabilities, and their caregivers. It reflects the recommendations of the governor’s Master Plan for Aging issued earlier in 2021, and includes $4.6 billion to enhance access to home- and community-based services (HCBS), as outlined in California’s proposed HCBS Spending Plan.
    On May 14, 2021, California Governor Gavin Newsom released the May Revision of the 2021-22 proposed budget. The revision includes a $75.7 billion surplus with investments in economic recovery related to COVID-19 and resources to implement the Master Plan for Aging.
    On January 8, 2021, California Governor Gavin Newsom released the 2021-22 proposed budget. The proposal includes program changes that impact services for older adults and people with disabilities.
    California ranked ninth overall on the 2020 LTSS State Scorecard, maintaining the same rank from 2017. This brief provides an overview of California’s Scorecard performance and key recommendations for transforming its LTSS system to better serve older adults, people with disabilities, and family caregivers.
    On June 29, 2020, California Governor Gavin Newsom signed California’s 2020-21 budget. The budget addresses the $54.3 billion deficit while maintaining funding for critical programs serving older adults, people with disabilities, and family caregivers.
    For a provider group that treats individuals through a mix of risk arrangements, one might reasonably inquire: What is the tipping point when it becomes financially advantageous to offer person-centered care to the entirety of its high-need, high-cost population? This report by Victor Tabbush, based on research conducted with provider groups in California, seeks to answer this question and provide insights.
    On May 14, 2020, California Governor Gavin Newsom released the May Revision of the 2020-21 proposed budget. The revision includes cuts to and elimination of critical home- and community-based services that impact the state’s most vulnerable older adults, people with disabilities, and family caregivers.
    On January 10, 2020, California Governor Gavin Newsom released the 2020-21 proposed budget. The proposal includes program changes that specifically impact services for older adults and people with disabilities.

    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.

    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.
    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.
    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.
    The Blueprint for Health Plans (Executive Summary) highlights successful partnerships for delivering social services and helps identify future opportunities.
    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.
    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 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.
    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.
    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.
    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.
    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.
    Immediately following the 2016 presidential election, Dr. Chernof wrote a letter to then President-elect Trump describing five action items for supporting older Americans.
    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.
    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.
    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.
    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.
    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.
    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.
    This policy brief describes California’s results in the 2014 Long-Term Services and Supports State Scorecard, identifying areas for improvement as well as policy opportunities to transform and improve the state’s system of care.
    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 person-centered care. This brief outlines The SCAN Foundation’s vision for care coordination in a person-centered, organized system.
    People tend to be very satisfied with their long-term care providers when they start their care, but satisfaction decreases over time.