The SCAN Foundation
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June 24, 2020
California’s Use of Federal and State Policy Flexibilities to Ensure Access to Long-Term Services and Supports During the COVID-19 Pandemic
This policy brief takes a closer look at how California has implemented federal flexibilities to ensure the state’s long-term services and supports (LTSS) system is responsive to the needs of older adults and people with disabilities during the COVID-19 pandemic.
June 24, 2020
In his latest Perspectives, Dr. Chernof discusses opportunities to drive change in care services and delivery that meet person-centered needs during the coronavirus (COVID-19) pandemic and beyond.
April 8, 2020
In his latest Perspectives, Dr. Chernof discusses how person-centered care is fundamental when confronting the challenges of coronavirus (COVID-19).
February 4, 2020
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.
January 3, 2020
In this Perspectives, Dr. Chernof reflects on the substantial progress to transform care for older Californians that has occurred over the past 12 months, and highlights some of the key opportunities in 2020.
October 16, 2019
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.
September 25, 2019
In this Perspectives, Dr. Chernof reflects on the recently held 2019 Master Plan for Aging Forum: Designing a System Built Around People and Partnerships, which served as a launch pad for the state’s stakeholder engagement efforts for developing the California Master Plan for Aging.
July 17, 2019
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.
June 13, 2019
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.
June 13, 2019
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.
June 11, 2019
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.
June 11, 2019
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 15, 2019
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.
March 5, 2019
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.
March 5, 2019
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.
February 8, 2019
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.
February 7, 2019
More than 80 percent of California voters expect a clear vision and long-term investment plan for our state’s older adults. In this infographic, learn about California's changing demographics, which states are leading the way, and what comprises plan elements.
January 23, 2019
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.
December 19, 2018
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.
December 12, 2018
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.
November 28, 2018
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.
October 2, 2018
One in three people in America ages 18-39 provides unpaid care to an adult friend or relative. Another third of millennials believe they will provide this kind of support in the next five years. To help prepare, here are 10 things millennials should know.
August 23, 2018
For most Americans, higher health care spending has not translated into improved quality, particularly for those with complex medical or social needs. In this Perspectives, Dr. Chernof discusses the impact of the CHRONIC Care Act as a path to better care for older adults.
July 1, 2018
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 31, 2018
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.
April 2, 2018
This policy brief highlights 10 questions health plans and systems nationwide could consider using in their risk assessments to deliver more cost-effective, quality care.
March 1, 2018
The CHRONIC Care Act was passed and signed on February 9, 2018. This policy brief provides a summary of key components of the law.
January 25, 2018
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.
January 15, 2018
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.
September 29, 2017
Top 10 Recommendations to Strengthen Integrated Care: Lessons from California’s Dual Eligible Demonstration
Read the Foundation’s top 10 recommendations for improving integrated systems of care for people with Medicare and Medicaid, also known as dually eligible individuals.
July 7, 2017
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.
January 26, 2017
In this Perspectives, Dr. Chernof discusses California's 2017-2018 proposed budget and how scaling back on key components of the Coordinated Care Initiative diminishes the state's progress toward integrated care for high-need, high-cost older adults.
November 10, 2016
Immediately following the 2016 presidential election, Dr. Chernof wrote a letter to then President-elect Trump describing five action items for supporting older Americans.
October 11, 2016
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.
August 25, 2016
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.
August 15, 2016
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.
August 15, 2016
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.
August 15, 2016
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.
August 2, 2016
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.
June 20, 2016
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.