publication

Models of Care and Financing

    In November 2023, the Centers for Disease Control and Prevention (CDC) reported an increase in the age-adjusted suicide rate since 2021. The report details that in 2021 and 2022, people ages 75 and older had the highest suicide rate among all age groups, largely driven by males. This report is a salient indicator of the challenge of identifying and addressing suicide risk among older adults amidst the well-publicized mental health crisis in the United States. Underpinning this profound challenge are the direct connections between social isolation, neglect, and suicide. READ FULL STORY
    The Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities (ICC), seeks to build upon government plans to develop a strategic framework for a national plan on aging. This strategic framework will be built upon the fundamental truth that older adults are of great value to our society as leaders, volunteers, experts, workers and contributors, with the recognition that often barriers prevent their engagement and health. VIEW FRAMEWORK
    Since 2019, ATI Advisory and the Long-Term Quality Alliance, with support from The SCAN Foundation, have led national efforts to advance person-centered, non-medical supplemental benefits in Medicare Advantage. This resource center provides research and data for plans, providers, beneficiary advocates, policymakers, and other stakeholders to advance understanding and utilization of these benefits. All of our research
    For over five years, NORC has been at the forefront of research focused on the Forgotten Middle, a term it coined in its landmark 2019 study to define middle-income older adults who are unlikely to qualify for Medicaid long-term care and do not have the financial resources to pay for certain housing and care supports. Since then, it has produced an updated national study with more recent data and designed a Forgotten Middle model specifically for California’s middle-income older adults. VIEW REPORT
    In this pre-recorded webinar, Sarita A. Mohanty, President and CEO of The SCAN Foundation joins Purva Rawal of the Center for Medicare and Medicaid Innovation; Narda Ipakchi of The SCAN Foundation; Amber Christ of Justice in Aging; and Jessica Vida of the Commonwealth Care Alliance. This webinar identifies next steps to build the evidence base around nonmedical supplemental benefits in Medicare Advantage. A panel discussion explores these benefits from multiple perspectives, and highlights the importance of data collection efforts to evaluate their impact. WATCH THE WEBINAR
    The California Department of Health Care Services (DHCS) and California Department of Aging (CDA) published a provider-facing fact sheet that describes: Medicare covered behavioral health services; how providers can enroll to be a Medicare provider; and how providers can help Medicare beneficiaries access behavioral health services. This fact sheet was created with support from The SCAN Foundation through our broader DHCS Office of Medicare Innovation and Integration (OMII) initiative. It was published January 2024. VIEW FACT SHEET
    This fact sheet covers: (1) Behavioral health services covered by Medicare, including treatment for mental health conditions (e.g., depression or anxiety), significant mental health needs (e.g., schizophrenia or bipolar disorder), and substance use disorders (e.g., alcohol or opioid dependence); (2) How to enroll as a Medicare provider and participate in Medicare; (3) How providers can help Medicare beneficiaries access care; and (4) 2024 changes in Medicare for behavioral health. VIEW FACT SHEET
    Chronic Conditions ​Experienced by ​Californians with Original Medicare in 2021 provides information on the chronic conditions most commonly experienced by Californians with Original Medicare and related Medicare spending. These data provides a lens into who might benefit from policies, programs, and services that target specific chronic conditions. VIEW CHART BOOK
    This webinar, hosted by the California Collaborative for Long Term Services and Supports on December 13, 2022 focuses on the steps three regional coalitions are taking to develop their local Master Plans for Aging, including: forming an advisory committee, building on existing data, gathering community input, identifying potential action items, and planning for implementation and sustainability.
    Jointly prepared by ATI Advisory and the California Department of Health Care Services. This factsheet explains Medicare Advantage supplemental benefits and how these benefits may be similar to Medi-Cal benefits available to Californians dually eligible for Medicare and Medi-Cal. VIEW FACT SHEET
    Jointly prepared by ATI Advisory and the California Department of Health Care Services. This factsheet explains Medicare Advantage supplemental benefits and how these benefits may be similar to Medi-Cal benefits available to Californians dually eligible for Medicare and Medi-Cal. VIEW FACT SHEET
    In January 2022, The SCAN Foundation provided support to three advocacy coalitions to develop local Master Plans for Aging with a focus on addressing the unique challenges of aging in rural communities. Over a process
    California ranked 11th overall on the 2023 Long-Term Services and Supports (LTSS) State Scorecard. This brief provides an overview of California’s Scorecard performance, and key recommendations for improving the California LTSS system to better serve older adults, people with disabilities, and family caregivers. VIEW FULL BRIEF
    This chartbook examines supplemental benefits offered by Medicare Advantage (MA) plans in California in contract year 2023. Supplemental benefits are not covered by Traditional Medicare and vary by MA plan. The type and eligibility criteria of supplemental benefits also vary across plans and throughout the state. VIEW CHART BOOK
    This chartbook examines supplemental benefits offered by Medicare Advantage (MA) plans in California in contract year 2023. Supplemental benefits are not covered by Traditional Medicare and vary by MA plan. The type and eligibility criteria
    While policy makers have sought solutions to integrate Medicare and Medicaid for decades, progress is still limited, as states are faced with several challenges. READ FULL ARTICLE
    Medi-Cal covers long-term services and supports (LTSS) for its members, but Medicare beneficiaries who are Near Medi-Cal Income Eligible do not qualify for Medi-Cal LTSS. This is notable because Medicare beneficiaries who are Near Medi-Cal Income Eligible have higher rates of disability, less available income, and less access to social supports than those with higher incomes, and therefore are vulnerable to not having their care
    2014-2020 data: Adults 50+ feel their care preferences are being considered more often, but stark racial, economic, and geographic inequities remain.  In a comprehensive analysis of older adults’ care preferences, Marc Cohen, PhD, and his team at The LeadingAge LTSS Center @UMass Boston and Community Catalyst found that since 2020, more older adults feel their care preferences are being usually/always considered, but their experiences vary, highlighting inequities. VIEW CHART BOOK
    In partnership with the Health Foundation for Western & Central New York, we developed a series of online training modules for community-based organizations (CBOs) to build their business acumen.
    Making the business case for new models of care requires a comprehensive financial analysis that includes a return on investment (ROI). Our ROI Calculator is designed to help health care organizations develop and operate person-centered
    The Cultural and Linguistic Demographics of the California Medicare Population Chartbook is the second in a series exploring the demographics, needs, and health care experiences of Californians with Medicare. This chartbook provides new key demographic information, adding to analysis of Medicare records and Census survey data in the Profile of the California Medicare Population chartbook published in February 2022. VIEW CHART BOOK
    The SCAN Foundation continues to gather learnings from the real-life experiences of people participating in Cal MediConnect, a California demonstration project that brings together Medicare and Medicaid in seven counties. Below are findings from two initiatives in an effort to better understand enrollee and health care provider experiences in Cal MediConnect. Learn how it is changing the delivery system landscape in the state. VIEW REPORT
    This fact sheet, updated for 2023, describes opportunities open to states to better integrate care for dually eligible individuals, including efforts already underway in states across the nation.
    NCQA’s LTSS Distinction for Health Plans helps support health plans that coordinate LTSS. The standards can help your organization meet the state needs. VIEW REPORT
    NCQA’s Accreditation of Case Management for Long-term Services and Supports helps support organizations that coordinate long-term services and supports (LTSS) by providing a framework for quality improvement. VIEW REPORT
    National Committee for Quality Assurance's results, research, and learning collaboratives help identify ways to improve care and improve health. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA. VIEW WEBSITE
    We are experiencing a societal shift and focus on what it means to age well and equitably. Older adults, families, and other caregivers are discussing what really matters. For instance, a majority of U.S. adults say they want to age at home and in community as long as possible. The SCAN Foundation worked with Hollywood, Health & Society and 44 Blue
    The Better Care Playbook (the Playbook) makes it easier to find evidence-based and promising practices for improving complex care. This online resource center helps health care stakeholders — including providers, health systems, health plans, community-based organizations, and policymakers — move evidence to action and accelerate adoption of best practices in complex care. VIEW PLAYBOOK
    This unique website helps people with Medicare + Medi-Cal better understand their care choices based on where they live. VIEW WEBSITE
    Caring for a loved one impacts the health and financial well-being of many older Californians. View this fact sheet produced by The SCAN Foundation and NORC at the University of Chicago. VIEW FACT SHEET
    Lower-income older Californians report higher levels of social isolation and symptoms of depression. View this fact sheet produced by The SCAN Foundation and NORC at the University of Chicago. VIEW FACT SHEET
    Californians’ personal health experience and difficulty paying for care are impacted by income disparities. View this fact sheet produced by The SCAN Foundation and NORC at the University of Chicago.

    VIEW FACT SHEET

    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.

    The report, Leveraging COVID-19 Public Health Emergency Flexibilities to Advance Person-Centered Care for Older Adults and People with Complex Care Needs: A Roadmap for Policymakers, was developed in partnership with the Alliance for Health Policy, ATI Advisory, Health Management Associates, and Manatt Health. VIEW REPORT