Provides design and implementation lessons for states thinking about adopting a Cash and Counseling program. The lessons are based on the experiences of the Arkansas, Florida, and New Jersey programs. Areas discussed include outreach and enrollment, use of consumer representatives, development...

Examines how a new model of consumer-directed care changes the way that consumers with disabilities meet their personal care needs and, in turn, affects their well-being. The analysis yielded estimated program effects that were large, compelling, consistent across numerous types of measures, and...

States considering a Cash and Counseling program are likely to be interested in the number and types of eligible beneficiaries it might attract, factors that could deter interested beneficiaries from participating, and possible increases it might create in the total number of beneficiaries...

Examines two generations of Social HMOs (S/HMO I and S/HMO II), models of managed care that incorporate additional long-term care benefits and care coordination services for Medicare beneficiaries. Finds that one of the three S/HMO I plans examined has implemented innovative geriatric...

This issue brief, the first in a series on Trends in Consumer Choice, presents preliminary findings for the first 200 treatment group members enrolled in the Arkansas Independent Choices program. Finds a high degree of consumer satisfaction with Cash and Counseling, an innovative method of...

Summary for publication Cash and Counseling Early Experiences in Arkansas

Looks at effects on informal caregivers and the experiences of hired workers. Caregivers for consumers in the treatment group reported more satisfaction, less worry, and less physical and emotional strain than caregivers for the control group. Directly hired workers received wages comparable to...

States considering a Cash and Counseling program are likely to be interested in the number and types of eligible beneficiaries it might attract, factors that could deter interested beneficiaries from participating, and possible increases it might create in the total number of beneficiaries...

Examines two generations of Social HMOs (S/HMO I and S/HMO II), models of managed care that incorporate additional long-term care benefits and care coordination services for Medicare beneficiaries. Finds that one of the three S/HMO I plans examined has implemented innovative geriatric...

A growing number of Medicaid beneficiaries receiving disability-related assistance in their homes hire workers and manage the services themselves under consumer-directed care. Although consumer direction clearly benefits beneficiaries, it is sustainable only if workers are satisfied with their...