Effect of Consumer Direction on Adults' Personal Care and Well-Being in Arkansas, New Jersey, and Florida

Effect of Consumer Direction on Adults' Personal Care and Well-Being in Arkansas, New Jersey, and Florida

Published: May 16, 2005
Publisher: Princeton, NJ: Mathematica Policy Research
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Associated Project

Evaluation of Three Cash and Counseling Programs

Time frame: 1996-2005

Prepared for:

U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation

The Robert Wood Johnson Foundation

University of Maryland

Authors

Randall Brown

Barbara Phillips

Jennifer Schore

Cash and Counseling had sizable effects on the proportion of people receiving paid care in Arkansas and New Jersey. It also had sizable effects among the nonelderly—but not the elderly—in Florida, where a higher percentage of enrollees were already receiving this type of care before enrollment. The program increased hours of paid care received by the elderly in Arkansas and New Jersey, and by the nonelderly in Florida and New Jersey, but had no effect on total hours of care for any of these groups because the hours of unpaid care decreased or were not significantly different (relative to the control group) for both age groups in all three states. Those in the program had higher levels of satisfaction than those in the control group and suffered no more adverse health outcomes as a result of directing their own care.

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