October 4, 2021
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.
September 7, 2021
Summary of the California Enacted 2021-22 Budget and Home- and Community-Based Services Spending Plan: Impact on Older Adults, People with Disabilities, and Their Caregivers
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.
June 1, 2021
May Revision of the Proposed 2021-22 Budget: Impact on California’s Older Adults, People With Disabilities, and Family Caregivers
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.
May 3, 2021
In this infographic, learn what voters are saying about the Master Plan for Aging and the need to prioritize and invest in our aging population.
January 20, 2021
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.
January 14, 2021
On January 6, 2021, California Governor Gavin Newsom released a Master Plan for Aging (Master Plan) that establishes a vision for California for All Ages by 2030. This policy brief provides an overview of the Master Plan.
August 10, 2020
Perspectives: For Voters, COVID-19 Brings California’s Master Plan for Aging to the Front and Center
In his latest Perspectives, Dr. Chernof discusses how voter interest and Master Plan for Aging action in other states can show us how to chart a meaningful path forward for aging in California.
July 9, 2020
Summary of the Enacted 2020-21 Budget: Impact on California’s 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.
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.
May 27, 2020
May Revision of the Proposed 2020-21 Budget: Impact on California’s Older Adults, People with Disabilities, and Family Caregivers
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.
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.
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
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.
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.
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.
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.
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.
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 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.
January 14, 2016
Coordinated Care Makes a Difference. It prevents avoidable hospital re-admissions, transitions people out of institutional settings and helps people thrive in their communities. Read Josephine's case study.
October 26, 2015
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.
January 22, 2015
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.
June 20, 2014
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.
June 17, 2014
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.
January 22, 2014
Following on previous reports describing the population who uses Medi-Cal-funded long-term services and supports, the California Medicaid Research Institute has produced a report that describes key characteristics of the population using LTSS across each of the state’s 58 counties. This report describes spending and service use patterns across the 58 counties.
February 11, 2013
The California Medicaid Research Institute (CAMRI) developed an integrated and longitudinal database containing Medi-Cal and Medicare claims and assessment data of LTSS recipients in California in 2008. CAMRI's integrated database provides a unique opportunity to look at characteristics and program spending across the entire care continuum for beneficiaries with LTSS needs within Medi-Cal and for dual eligibles across Medicare and Medi-Cal. This report focuses on LTSS use and spending in the eight duals demonstration counties.
December 5, 2012
This is the third report coming from the California Medicaid Research Institute (CAMRI) project entitled: Comprehensive Analysis of Home- and Community-Based Services in California. The report describes Medicare and Medi-Cal spending for those beneficiaries using long-term services and supports funded by Medi-Cal.
June 6, 2012
The California Medicaid Research Institute (CAMRI) compiled a report that identifies Californians who receive home-and community-based support and what services they receive. The brief brings together available information spread across multiple state and federal data systems.
November 16, 2011
In this brief, the California Medicaid Research Institute documents its process to acquire and link all the data sources necessary to evaluate long-term care services utilization, costs, and outcomes in California. This provides useful information about how data currently flows in the state and how system transformation can be supported.
April 13, 2010
The SCAN Foundation, in partnership with Avalere Health, released a web-based modeling tool that enables policymakers and the public to test the budgetary implications of a wide variety of federally run long-term care insurance programs. The model, called the Long-Term Care Policy Simulator, produces more than 2,500 unique outputs, each illustrating how public long-term care insurance program designs and benefits translate into estimated coverage, participation rates, and costs to participants and taxpayers. Read more in this report.