publication

Perspectives


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.
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.
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.
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 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
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 complexity and cost burdens confronting older adults and family caregivers alike. Learn how public demand is driving innovators to generate real value in health care, and build a
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.
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
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.
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
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.
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.
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.
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.
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.
In this Perspectives, Dr. Chernof explains what recent polling results and coordinated care stories tell us about the experiences of Medicare-Medicaid individuals, and identifies opportunities to further strengthen and expand support.
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.
California is among a dozen states participating in the national demonstration to improve care for people with serious chronic illnesses and functional limitations who qualify for both Medicaid and Medicare. We commissioned the Field Research Corporation to poll the state's dual eligibles, including people enrolled and those opting out in five demonstration counties as well as people in non-demonstration counties. Find out more in this week's Perspectives.
Read Dr. Chernof's perspectives on the importance of there being effective partnerships between health care entities and community-based organizations.
On July 13th, The White House held its sixth Conference on Aging.  Industry leaders and experts discussed issues shaping the landscape for America’s aging future. Read Dr. Chernof’s perspectives on successes and what was missing.
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 California Senate Select Committee on Aging and Long-Term Care released a report with recommendations on how California can transform its long-term care system. Read Dr. Bruce Chernof's latest Perspectives on three of the report's recommendations state lawmakers should focus on in the new legislative session.
Developing a vision and strategy for the transformation of our system of long-term services and supports (LTSS) is imperative to better meet the current and future needs of older adults. Since 1961, the White House has held a Conference on Aging every decade to elevate issues facing older Americans and generate policy ideas to help improve the aging experience.
The time to improve California’s long-term services and supports system (LTSS) is now. The state has a growing aging population, opportunities for innovation have emerged through the Affordable Care Act, California’s Senate Select Committee on Aging and Long-Term Care will soon make its recommendations to the legislature, and finally, the state is digging out of years of recession.
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.
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.
Sadly for most vulnerable older Californians, their first interaction with long-term services and supports (LTSS) begins in the emergency room. A recent report from California’s Medicaid Research Institute (CAMRI) shows that this perspective is particularly true for individuals covered by Medicare and Medi-Cal. Most people who used Medi-Cal-funded LTSS started these services after an emergency room visit, hospital admission, or rehabilitation stay. Older adults entering these institutions may experience additional health complications, be discharged with less function than when they entered, and find their support system at home less prepared to meet their needs.
Quality measurement in health care has always been difficult and expensive. In my 30 years in medicine, the focus has been geared more towards measuring outcomes from an acute care perspective rather than quality from the point of view of the individual. For example, documenting hemoglobin A1C levels or body mass index scores may measure clinical quality, yet these markers reveal little about a person’s daily living needs and how decisions about their care are made.
For all of us, the start of the New Year brings reflection and the chance to chart a bold path forward. As we enter 2014, The SCAN Foundation celebrates its fifth year of working to improve the lives of older adults and their families. Our founding strategic plan set us on a course to raise public awareness, advance realistic policy options, and scale promising programs all in support of aging with dignity and independence. We are honored to have worked with many talented partners who bring leadership and visibility to the field of aging and long-term care.
When it comes to aging with dignity and independence, the enduring dilemma of how people and society should pay for needed long-term care services often grabs the spotlight. But when money is not a primary focus, what are the most important elements to determine whether people are satisfied with the care they receive? The experts at LifePlans Inc. examined satisfaction with care over time for people who needed daily help and were getting it through a long-term care insurance benefit.
It is no secret that Americans are aging, but what is too often lost in this fact is that most people will need help as they grow older. Unfortunately, America does not have a strategy to deal with this growing demand. For some, this help comes in the form of needing just a little bit of assistance in the home with cooking meals or getting groceries. For others, it is more comprehensive daily help in assisted living or nursing home care.
Too often vulnerable older adults are left to fend for themselves when it comes to transitioning from the hospital to the next appropriate care setting. Stories abound of people being shipped back and forth from the hospital to temporary care to their homes and back to the hospital again when it all goes wrong. In California, approximately one in five or 81,000 Medicare beneficiaries every year end up re-hospitalized within 30 days of discharge for a medical condition that led to the original hospitalization. This figure increases to 2.5 million Medicare beneficiaries nationally, at a cost of nearly $17 billion a year.
It’s been said that as goes California, so goes the nation. Right now, Californians are not prepared to grow old. A recent poll of voters in the state over the age of 40 shows that nearly half will need long-term care for a close family member within the next five years, yet the same amount say they couldn’t afford even one month of nursing home care.
In this Perspectives, Dr. Chernof reflects on the Foundation's presence at the 2012 American Society on Aging Conference and how improving long-term care in California will require the long-term strategies and dedication of a social movement.
Chances are you know and love an older person with needs. Maybe it’s that neighbor of yours whose trash cans you help bring in once a week. Perhaps it’s your grandparent or even a parent who needs help understanding the bills or getting the groceries up the stairs. The reality is the population of older adults in this country is growing rapidly due in large part to the aging of baby boomers – a demographic shift that affects us all. Advancements in health care and technology have also spurred this phenomenon, yet we know that a longer life also brings a greater likelihood of facing multiple chronic health conditions and possibly needing help with everyday activities.
High quality, cost effective health care delivery is all about targeting – the right care, by the right provider, at the right time, in the right place, and for the right cost. It sounds straightforward, almost easy. The challenge to getting it right is understanding the range of variables in a person’s life that drive health care use and costs. Find out more in this week's Perspectives.
How many times in our lives have we been on the giving or receiving end of this inscrutable little question? Given our web-enabled lives, the answer often comes easily. There is nothing quite like accessing a quick set of directions on my cell phone, or the certainty that a confident GPS voice will tell me exactly how many more miles I must travel to reach a desired destination. So many fundamental activities crucial to our daily lives can be measured with certainty and confidence, but not so in health care - and certainly not when it comes to aging and long-term services and supports.
We aim to transform the way people talk about the care needs that most of us will have as we grow older. Read Dr. Chernof's Perspectives on changing older Americans' thoughts on how to approach aging for themselves and with their loved ones.
In this Perspectives, Dr. Chernof discusses several ways that health reform provisions can support effective transitions.