SCAN Health Plan Grants $2 Million to Enhance Community-Based Adult Services for Dual Eligibles

Date Posted: 08/26/2013

(LONG BEACH, Calif. – August 27, 2013) — SCAN Health Plan has awarded a $2 million grant to the Alliance for Leadership and Education (ALE) to help California’s most vulnerable seniors live independently and in their communities for as long as possible. The grant from the not-for-profit health plan will fund the delivery of community health home services for dual eligibles through the state’s Community-Based Adult Services (CBAS) program. Dual eligibles refers to individuals eligible for both Medicare and Medi-Cal. Medi-Cal beneficiaries must be enrolled into a Medi-Cal managed care health plan in order to receive CBAS. “The healthcare environment is rapidly changing and is increasingly complex, especially for dual eligibles,” said Chris Wing, chief executive officer of SCAN Health Plan. “SCAN has a long history of serving the frail elderly, many of whom are dealing with multiple chronic conditions along with important lifestyle choices. That is why we are particularly pleased to fund the delivery of services that will help these seniors receive the support and resources they need to stay in their communities with dignity as they age.” The goal of ALE’s community health home project is to build upon the CBAS model of care by connecting the “traditional medical community” and “local services and support” with CBAS serving as the link between the two. Among the many components of the program is the adding of specially trained nurses as health navigators in seven CBAS centers throughout the state. These “hands-on” nurse navigators will be dedicated to providing -- in both the CBAS center and patient’s home -- one-on-one, evidence-based patient assessment, education and coaching, helping patients successfully navigate the changing and complex Medi-Cal and Medicare health delivery systems. They will particularly focus on home visits, caregiver stress levels, and care transitions, when the risk for institutional placement is highest. Through their efforts, the overall patient experience will be enhanced given the nurse navigator’s unique personal relationship with the patient, the local medical community, the health plan and the family. This linkage will also create an extended health-home care team and provide high-risk adults with comprehensive accessible care through shared information and unified decision making. “Our goal is to evolve the CBAS model to better integrate it within the larger health system,” said Lydia Missaelides, MHA, executive director of ALE. “We believe this project has significant potential for improving quality of care across the state for adults with complex health conditions, while reducing overall health costs.” The Alliance for Leadership and Education is the public benefit arm of the California Association for Adult Day Services. ALE works to advance innovation and quality in adult day service through research and analysis, education and training, and leadership for the benefit of consumers and their caregivers. SCAN’s year-round commitment in the community includes not only financial support but hands-on involvement from its 1,000 employees; action-oriented research in geriatric care; and an active commitment to sharing 35 years of geriatric knowledge with seniors, healthcare professionals, other caregivers and legislators. Examples of this include the SCAN Van mobile resource center for seniors and caregivers, SCAN’s Trading Ages™ senior sensitivity program, continuing medical education programs offered to local physicians, the SCAN Resource Centers in California, and many other year-round initiatives. For 35 years SCAN Health Plan has been focusing exclusively on the unique needs of seniors and others on Medicare. The company currently has nearly 145,000 members in California. Further information may be obtained at or on Facebook at Y0057_SCAN_8164_2013 IA 08262013