Effects of Cash and Counseling on personal care and well-being
- PMID: 17244293
- PMCID: PMC1955332
- DOI: 10.1111/j.1475-6773.2006.00673.x
Effects of Cash and Counseling on personal care and well-being
Abstract
Objective: To examine 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.
Study setting: Eligible Medicaid beneficiaries in Arkansas, Florida, and New Jersey volunteered to participate in the demonstration and were randomly assigned to receive an allowance and direct their own Medicaid supportive services as Cash and Counseling consumers (the treatment group) or to rely on Medicaid services as usual (the control group). The demonstration included elderly and non-elderly adults in all three states and children in Florida.
Data sources: Telephone interviews administered 9 months after random assignment.
Methods: Outcomes for the treatment and control group were compared, using regression analysis to control for consumers' baseline characteristics.
Principal findings: Treatment group members were more likely to receive paid care, had greater satisfaction with their care, and had fewer unmet needs than control group members in nearly every state and age group. However, among the elderly in Florida, Cash and Counseling had little effect on these outcomes because so few treatment group members actually received the allowance. Within each state and age group, consumers were not more susceptible to adverse health outcomes or injuries under Cash and Counseling.
Conclusions: Cash and Counseling substantially improves the lives of Medicaid beneficiaries of all ages if consumers actually receive the allowance that the program offers.
Similar articles
-
The research design and methodological issues for the Cash and Counseling Evaluation.Health Serv Res. 2007 Feb;42(1 Pt 2):414-45. doi: 10.1111/j.1475-6773.2006.00671.x. Health Serv Res. 2007. PMID: 17244291 Free PMC article. Clinical Trial.
-
How does Cash and Counseling affect costs?Health Serv Res. 2007 Feb;42(1 Pt 2):488-509. doi: 10.1111/j.1475-6773.2006.00680.x. Health Serv Res. 2007. PMID: 17244294 Free PMC article. Clinical Trial.
-
How caregivers and workers fared in Cash and Counseling.Health Serv Res. 2007 Feb;42(1 Pt 2):510-32. doi: 10.1111/j.1475-6773.2006.00672.x. Health Serv Res. 2007. PMID: 17244295 Free PMC article. Clinical Trial.
-
Delivery of rehabilitation services to people aging with a disability.Phys Med Rehabil Clin N Am. 2005 Feb;16(1):267-84. doi: 10.1016/j.pmr.2004.06.007. Phys Med Rehabil Clin N Am. 2005. PMID: 15561555 Review.
-
Community and in-home models.Am J Nurs. 2008 Sep;108(9 Suppl):69-72; quiz 72. doi: 10.1097/01.NAJ.0000336424.88311.f7. Am J Nurs. 2008. PMID: 18797235 Review.
Cited by
-
Preference of caregivers on residential care homes for older persons with versus without communication problems: a discrete choice experiment.BMC Geriatr. 2022 May 10;22(1):411. doi: 10.1186/s12877-022-03073-9. BMC Geriatr. 2022. PMID: 35538432 Free PMC article.
-
Experiences of individuals self-directing Medicaid Home and Community-Based Services during COVID-19.Disabil Health J. 2022 Jul;15(3):101313. doi: 10.1016/j.dhjo.2022.101313. Epub 2022 Mar 10. Disabil Health J. 2022. PMID: 35379576 Free PMC article.
-
Fewer potentially avoidable health care events in rural veterans with self-directed care versus other personal care services.J Am Geriatr Soc. 2022 May;70(5):1418-1428. doi: 10.1111/jgs.17656. Epub 2022 Jan 13. J Am Geriatr Soc. 2022. PMID: 35026056
-
Influences of service characteristics and older people's attributes on outcomes from direct payments.BMC Geriatr. 2021 Jan 2;21(1):1. doi: 10.1186/s12877-020-01943-8. BMC Geriatr. 2021. PMID: 33388045 Free PMC article.
-
Outcomes of Medicaid home- and community-based long-term services relative to nursing home care among dual eligibles.Health Serv Res. 2020 Dec;55(6):973-982. doi: 10.1111/1475-6773.13573. Health Serv Res. 2020. PMID: 33258129 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
