title: Cash and counseling demonstration and evaluation. Start-up activities.
abstract: One possible approach for making long-term-care systems more consumer-directed is to provide the consumer with a cash alternative. Advocates have touted the possible advantages of this approach, while nay-sayers have worried about the potential for abuse and questioned the claims of cost savings. This article describes the Cash and Counseling Project, a large-scale demonstration project with a rigorous, policy-driven evaluation built into it. Written prior to the project's actual implementation, this article specifically reviews the major evaluation questions, and the state selection process.
authors.affiliation: University of Maryland, Center on Aging, College Park 20742, USA.
authors.forename: K J
authors.initials: KJ
authors.lastname: Mahoney
authors.forename: L
authors.initials: L
authors.lastname: Simon-Rusinowitz
mesh_terms: D019090:Case Management / Q000458:organization & administration*; D002755:Choice Behavior; D003376:Counseling; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D010358:Patient Participation; D010548:Personal Health Services / Q000458:organization & administration*; D015397:Program Evaluation