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    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 Gabriela's case study.
    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.
    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 Chito's case study.
    Options Reflect Tradeoffs for Older Americans and Federal Spending​. VIEW REPORT
    This policy brief summarizes findings from long-term care financing option research by the Urban Institute and Milliman, Inc., courtesy of Health Affairs.
    Greater costs for older women, who average 2-1/2 years of high-level need.
    Half of U.S. reaching 65 will need high levels of costly help with daily activities.
    1 in 7 of all older Americans will need a high level of help with everyday activities for 5+ years.
    Families pay >50% of costs for high-level needs that older Americans face.
    Many community-based organizations receive funding from government contracts and foundation grants. Usually, these contracts are based on line-item budgets for a very specific scope of work. However, over the last few years new potential funding sources have materialized, primarily through the implementation of the Affordable Care Act. This guide offers considerations along with helpful tools to develop pricing for integrated care and community-based services.
    Stratifying Medicare-Medicaid enrollees by their level of need may help states and health plans prioritize and promptly address the care management needs of these individuals in order to ensure high-quality, timely care. This brief from the Center for Health Care Strategies describes how three states - California, Ohio, and Virginia - are accomplishing this work.
    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.
    A white paper and series of briefs from Avalere Health produced with support from The SCAN Foundation explore the use of non-medical data to better coordinate care for high risk Medicare beneficiaries, which can lead to improvements in care while providing health plans a return on investment.
    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.
    $97,820 - Cost of nursing home care is two and a half times what a family makes a year. $42,406 - Family income level. $35,802 - Cost of home care is almost all of a family’s income. 5% of Californians over 40 have long-term care insurance coverage.
    The findings contained in this report demonstrate the inter-relationship between acute, postacute, and long-term services and support (LTSS) services for Medicare and Medicaid Enrollees (MMEs).
    70% of Americans who reach age 65 will need some form of long-term care for an average of three years.
    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.
    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.
    This paper was produced as part of California's uniform assessment stakeholders work group by academic partners from the University of Southern California, University of California, Los Angeles, and the University of California, San Francisco. It provides information on four selected states' uniform assessment instruments for adults seeking HCBS.
    This paper was produced as part of California's uniform assessment stakeholders work group by academic partners from the University of Southern California, University of California, Los Angeles, and the University of California, San Francisco. It identifies and compares existing gold-standard recommendations for standardized assessment throughout the U.S.
    This paper was produced as part of California's uniform assessment stakeholders work group by academic partners from the University of Southern California, University of California, Los Angeles, and the University of California, San Francisco. It describes the current assessment approaches and assessment content for the In-Home Supportive Services program, the Multipurpose Senior Services Program, and Community-Based Adult Services.
    This report describes nursing home stays of two of California's most vulnerable populations: those who are dually eligible for Medicare and Medi-Cal and Medi-Cal only beneficiaries. Findings suggest the need for improved coordination between health care and long-term services and supports systems in order to more efficiently and effectively provide services to meet people's needs.
    People tend to be very satisfied with their long-term care providers when they start their care, but satisfaction decreases over time.
    Poll shows that more Californians are in denial about aging than the rest of the U.S. 39% of Californians would “rather not think about it” compared to 31% of the overall U.S. population.
    On March 27, 2013, the State of California and the Centers for Medicare and Medicaid Services (CMS) formalized a Memorandum of Understanding (MOU) to establish a Federal-State partnership to implement the Dual Eligibles Integration Demonstration, also referred to as Cal MediConnect. This Fact Sheet provides background information about Cal MediConnect and summarizes the key points of the MOU.
    The Foundation developed this Budget & Financial Planning Tool to assist community-based organizations in developing project-specific budgets, determining both expense and potential revenues over a 5-year time frame.
    This brief seeks to answer the question of how many employed individuals (who work for large companies, small companies, or are self-employed) do not currently have access to long-term care coverage. This brief also considers the characteristics that make different types of employers strong or weak prospects for long-term care planning options.
    This brief series summarizes current issues in financing long-term care and outlines policy options for increasing affordable access to services.
    This brief series summarizes current issues in financing long-term care and outlines policy options for increasing affordable access to services.
    Many older adults pay for long-term care out of their income and personal savings until they are poor enough to qualify for Medicaid. In an effort to avoid exhausting their resources and relying on Medicaid, others depend on unpaid family support or go without needed services. Learn more in this policy brief, developed with Avalere.
    This paper serves as an overview of the Shaping Affordable Pathways for Aging with Dignity series. The series summarizes current issues in financing long-term care and outlines policy options for increasing affordable access to services.
    Medicaid provides an important safety net for people who are poor or become poor, either because of the high costs of health and long-term services and supports, or for other reasons. The transition from non-Medicaid to Medicaid status can be difficult, especially since it is often associated with illness, disability, and declining income and assets.
    For people who have been independent all of their lives, transitioning to Medicaid means depending on a means-tested welfare program for their health and long-term care services. Moreover, people transitioning to Medicaid are a substantial portion of state Medicaid expenditures. In an effort to avoid exhausting their resources and relying on Medicaid, others depend on unpaid family support or go without needed services.
    The long-term care financing series summarizes current issues in financing long-term care and outlines policy options for increasing affordable access to services.
    In this paper, the National Committee for Quality Assurance (NCQA) discusses prior integration efforts; introduces a model for integrated entities and a framework for assessing and promoting quality of integrated care; and explores the challenges to implementing and achieving the goals of person-centered, integrated care for Medicare-Medicaid beneficiaries. They use the word “framework” to describe the key concepts underlying the structure and process measures; it can also be expanded to include the content of performance measures as companions to the structure and process measures.