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Financial management services in consumer-directed programs.

Teresa Scherzer1, Alice Wong, Robert Newcomer

  • 1Department of Social and Behavioral Sciences, UCSF Center for Personal Assistance Services, University of California, San Francisco, CA 94118, USA. teresa.scherzer@ucsf.edu

Home Health Care Services Quarterly
|March 28, 2007
PubMed
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Consumer direction in personal care services shifts employment responsibilities to recipients. Financial Management Services (FMS) help manage fiscal tasks in Medicaid programs, but their effectiveness requires further study.

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Social Gerontology

Background:

  • The personal assistance services (PAS) landscape is shifting from agency-based models to consumer direction.
  • Consumer direction empowers recipients to manage their care and employment of attendants, including fiscal responsibilities.

Purpose of the Study:

  • To introduce major types of Financial Management Services (FMS) organizations within Medicaid consumer-directed personal care programs.
  • To examine how FMS approaches serve the needs of both care recipients and personal care workers.
  • To identify challenges, opportunities, and policy implications of FMS in consumer-directed care.

Main Methods:

  • Review of Financial Management Services (FMS) models used in Medicaid consumer-directed personal care programs.

Related Experiment Videos

  • Analysis of the extent to which FMS approaches meet recipient and worker needs.
  • Discussion of current practices, challenges, and future research directions.

    • Main Results:

    • Financial Management Services (FMS) have emerged to ease fiscal burdens for recipients in publicly financed personal care programs.
    • Varied FMS approaches exist, but their capacity to meet recipient and worker needs is not extensively studied.
    • The expansion of consumer-directed programs highlights the need for evaluating FMS effectiveness.

    Conclusions:

    • Financial Management Services (FMS) play a crucial role in supporting consumer direction in personal care.
    • Further research and evaluation are needed to understand the impact and optimize FMS for recipients and workers.
    • Policy implications suggest a need for improved FMS oversight and support within Medicaid programs.