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PUBLICATIONS: Reports / StudiesUpdated: DECEMBER 7, 2011 UCLA Health Policy Brief -- December 2011Independence at Risk: Older Californians with Disabilities Struggle to Remain at Home as Public Supports Shrink CAADS Report on ADHC Patient Discharge Outcomes -- October 2011 A Study of Patient Discharge Outcomes Resulting from California's Elimination of Adult Day Health Care on December 1, 2011
CAADS Report on ADHC Provider Survey -- June 2011 Elimination of ADHC as a Medi-Cal Optional Benefit
UCLA Center for Health Policy Research -- September 21, 2011Stressed and strapped: Caregivers for friends, relatives suffer emotional and financial strain SCAN Foundation Fact Sheet No. 21 -- July 2011On June 30, 2011, California Governor Jerry Brown signed the 2011-12 budget. The enacted budget includes significant cuts and prepares the framework for additional cuts in the following 2012-13 budget year that negatively impact health and human services programs serving older adults and people with disabilities. SCAN Foundation Fact Sheet No. 20 -- May 2011On May 16, 2011, California Governor Edmond G. Brown, Jr., released the May Revision for the 2011-12 budget reflecting updated estimates for state spending and revenue. Included in the May Revision are proposals that impact the health and human services programs serving older adults and people with disabilities. HMA / Health Management Associates -- May 10, 2011Keeping Adults Free from Institutions (KAFI): Medicaid Options to Guide Program Design The 2010-2011 California Legislature enacted AB 97 eliminating Adult Day Health Care as a Medi-Cal covered service. The legislature is instead proposing to transition individuals no longer eligible for ADHC services to other service options including California’s In-Home Supportive Services program, (which provides personal care and related services) or to existing home and community-based services (HCBS) waivers. UCLA Center for Health Policy Research Policy Brief -- March 2011The Health of Aging Lesbian, Gay and Bisexual Adults in California Members of California's aging lesbian, gay and bisexual population are more likely to suffer from certain chronic conditions, even as they wrestle with the challenges of living alone in far higher numbers than the heterosexual population, according to a new policy brief from the UCLA Center for Health Policy Research. Genworth Cost of Care Survey -- 2011Home Care Providers, Adult Day Health Care Facilities, Assisted Living Facilities and Nursing Homes Across 437 regions, surveyors polled more than 34 percent of adult day health care facilities, resulting in more than 1,300 completed surveys. ADH is designed to meet the needs of adults who are functionally and/or severely cognitively impaired. Programs are intended to be structured and comprehensive, and to take place in a protective setting that promotes well-being through a variety of health, social and other support services. Case Western Reserve University Report -- January 2010Evaluation of the Parma D.A.Y. (Designed Around You) Program Facilitating the safe transition of persons from the acute care hospital to home is a priority issue, given the frequency with which individuals are readmitted and/or visit the emergency department within 30 days of discharge. Many of these individuals require rehabilitation services, but reimbursement policy currently limits available options for continuing care. Furthermore, families may need more comprehensive education about health care needs of their family member, and home environments may need to be modified to ensure safety once the person returns home. One strategy for meeting these needs of patients and family members is an expanded adult day services program. National Public Radio (NPR) Investigative Report -- December 9, 2010A New Nursing Home Population: The Young There's one age group that's going into nursing homes at a higher rate. And it's not the elderly. Young people ages 31 to 64 now make up 14 percent of the nursing home population, an analysis of federal data from the Department of Health and Human Services by NPR's Investigative Unit found. That's up from 10 percent just 10 years ago. The MetLife National Study of Adult Day Services -- October 2010Providing Support to Individuals and Their Family Caregivers With the projected growth in the older population and resulting increase in the numbers of individuals who will require long-term care, the need for community-based providers such as adult day services centers will continue to grow. The passage of the Patient Protection and Affordable Care Act (the health care reform bill) and an increasing focus on managing chronic illness within the Medicare program speak to the importance of developing care models that will be able to meet these growing needs. The Lewin Group Report -- May 18, 2010Projected Economic Impact of Eliminating California's Medi-Cal Adult Day Health Care Program Our analysis indicates that the savings associated with eliminating this program would be more than offset by cost-shifting to other services and reductions to State revenue resulting from the program elimination. In total, we estimate the State would lose $51 million in 2010-11 over and above the estimated savings that would come from eliminating the program (excluding the loss of federal matching funds). Annual losses to the State are projected to increase to $72 million in 2020-21, $198 million in 2030-31 and over $412 million in 2040-41. Lake Research Partners and American Viewpoint Poll -- April 21, 2010Survey of California Voters 40 and Older on Long-Term Care The poll shows most voters 40 and older are largely unprepared for the costs of long-term care should they need it. Most do not have long-term care insurance, nor are they aware that Medicare does not cover extended long-term care services. Additionally, a majority of these voters could not pay for more than three months of nursing home or part-time in-home care if they needed it. Considerable proportions could not afford just one month. UCLA Center for Health Policy Research Policy Note -- February 2010Budget Proposals Turn Back Clock 30 Years in Long-Term Care Services for California Seniors The 2010-2011 California budget proposal released in January by Governor Arnold Schwarzenegger’s office proposes deep cuts in community-based services available to low-income seniors and low-income Californians of all ages with disabilities. The cuts will make it much more difficult for many older adults to continue to live safely in their own homes, create hardships for their families, lead to a loss of jobs and health insurance by direct service providers, and close many adult day care centers. Increased use of emergency rooms, hospital in-patient care and nursing facilities by affected older adults are likely to erode the financial savings of the reductions. UCLA Center for Health Policy Research Brief -- October 2009California Budget Cuts Fray the Long-Term Care Safety Net The deep budget cuts enacted by California’s legislature in the summer of 2009 will be felt especially among the elderly and infirm. Disabled older adults with low incomes will find it harder to access services and, ultimately, harder to live safely at home. U.S. Department of Health and Human Services Report -- July 2006Adult Day Services: A Key Community Service for Older Adults Adult day health services are part of the continuum of both health and long-term care services. In the states we visited, ADS providers are furnishing preventive care, health monitoring, and skilled nursing services to individuals with chronic illnesses and physical and cognitive impairments. Some providers are also serving adults under age 65, depending on regulatory requirements and the funding streams for this population.
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