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Cash and counseling demonstration and evaluation. Start-up activities
K J Mahoney1, L Simon-Rusinowitz
1University of Maryland, Center on Aging, College Park 20742, USA.
Summary
The Cash and Counseling Project explores consumer-directed long-term care options. This initiative investigates a cash alternative to traditional services, examining key evaluation questions before implementation.
Area of Science:
- Health Services Research
- Social Policy
- Gerontology
Background:
- Traditional long-term care systems often lack consumer direction.
- Cash alternatives are proposed to empower individuals in managing their care.
- Concerns exist regarding potential abuse and unproven cost savings of cash options.
Purpose of the Study:
- To describe the Cash and Counseling Project, a large-scale demonstration of consumer-directed long-term care.
- To outline the rigorous, policy-driven evaluation framework for the project.
- To detail the major evaluation questions and the state selection process prior to implementation.
Main Methods:
- The study outlines the design of a large-scale demonstration project.
- A rigorous, policy-driven evaluation methodology is described.
- The process for selecting participating states is reviewed.
Main Results:
- This article was written prior to project implementation, thus no results are presented.
- The focus is on the planned evaluation design and methodology.
- Key evaluation questions guiding the project are identified.
Conclusions:
- The Cash and Counseling Project aims to rigorously evaluate consumer-directed long-term care.
- Understanding the evaluation framework is crucial for assessing the project's impact.
- The study design addresses potential benefits and concerns of cash alternative programs.