Reducing Nursing Home Use Through Consumer-Directed Personal Care Services

By: Lewis D

In: Research Highlight

Publisher: Robert Wood Johnson Foundation

Published: April 23, 2008

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This highlight presents findings from a recent Mathematica Policy Research program that studied the effects of the Cash and Counseling program in Arkansas on nursing facility use and total Medicaid costs.

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Lessons from the Implementation of Cash and Counseling in Arkansas, Florida and New Jersey

By:
Phillips B, Mahoney K, Simon-Rusinowitz L, Schore J, Barrett S, Ditto W, Reimers T and Doty P

Publication date:
June 2003

Summary:
Medicaid traditionally restricted its coverage for supportive services at home to human assistance with personal care and homemaking provided by licensed agencies. Increasingly, however, states are offering Medicaid beneficiaries the opportunity to obtain...

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Reducing Nursing Home Use Through Consumer-Directed Personal Care Services

By:
Dale SB and Brown R

Publication date:
August 2006

Summary:
In this study, researchers at Mathematica Policy Research, Inc., show that the Cash & Counseling consumer-direction model has the potential to do what few models have done before: reduce dependence on nursing facilities. Nursing facilities are an expensive...

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The Effects of Cash and Counseling on Personal Care Services and Medicaid Costs in Arkansas

By:
Dale S, Brown R, Phillips B, Schore J and Carlson BL

Publication date:
November 2003

Summary:
The Cash and Counseling Demonstration gives Medicaid beneficiaries who are eligible for personal care services a consumer-directed allowance in lieu of traditional agency services. Using survey and Medicaid claims data on 2,008 adult applicants randomly assigned to...

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How Caregivers and Workers Fared in Cash and Counseling

By:
Foster L, Dale SB and Brown R

Publication date:
February 2007

Summary:
Cash and Counseling gives Medicaid beneficiaries flexibility and control when deciding whom to hire as personal caregivers. Evidence suggests that the Cash and Counseling model works well for beneficiaries—this paper seeks to assess how the model...

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The Future of Cash and Counseling: The Framers' View

By:
Mahoney KJ, Fishman NW, Doty P and Squillace MR

Publication date:
February 2007

Summary:
Cash and Counseling, a program designed to give older and disabled Medicaid consumers choice and control over their personal care services, is a promising model.This paper looks at the progress of Cash and Counseling in the original three demonstration states...

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Case Histories of Six Consumers and Their Families in Cash and Counseling

By:
San Antonio PM, Simon-Rusinowitz L, Loughlin D, Eckert JK and Mahoney KJ

Publication date:
February 2007

Summary:
Cash and Counseling, a program funded by the U.S. Department of Health and Human Services and the Robert Wood Johnson Foundation, was designed to give older and disabled Medicaid consumers choice and flexibility in managing their personal care services. This program...

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How Does Cash and Counseling Affect Costs?

By:
Dale SB and Brown RS

Publication date:
February 2007

Summary:
This research examines Cash and Counseling's effects on the costs and uses of Medicaid's personal care services or home and community-based waiver services; effects on other Medicaid costs; and effects on total Medicaid costs.

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The Research Design and Methodological Issues for the Cash and Counseling Evaluation

By:
Brown RS and Dale SB

Publication date:
February 2007

Summary:
Cash and Counseling is a consumer-directed program that offers Medicaid beneficiaries a monthly allowance to purchase support services as an alternative to receiving traditional agency-delivered services. The Cash and Counseling evaluation described why...

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