Washington State DSHS

How TCARE Saved Washington State DSHS Over $20M in saved Medicaid Spending

A Case Study


The need

600,000 unpaid family caregivers become stressed, don't have enough time for self or family, and experience adverse impacts on family relationships. This results in "burnout" by placement in a long-term care facility.

The solution

TCARE uses intelligent algorithms to precisely target & map interventions for family caregivers, reducing burnout & allowing for aging-in-place of the care recipient.

The impact

84% of caregivers reported lower levels of stress & depression. Average nursing home placement was delayed by 21 months, reducing medicaid LTC/LTSS expenditures by 20% and saving the state $20M annually.

In a 2007 statewide survey, the Washington State Department of Health found many family caregivers have high-levels of stress and time constraints due to their caregiving responsibilities. In 2010, the Family Caregiver Support Program (FCSP) of Washington State began using the Tailored Caregiver Assesment and Referral System (TCARE). TCARE asseses family caregiving situtaions to determine what types of services are needed to assist family caregivers. The initial TCARE screen successfully identified individuals with higher levels of caregiving burdens, thus qualifying those individuals for the full TCARE assesment, followed by additional consultations and a care plan, which would sometimes provide a higher tier of FCSP services depending on the family caregiver’s situation. The full TCARE assesment measures three types of caregiver burdens, those being: objective burden, stress burden, and relationship burden. During the full assesment, a Family Caregiver Specialist administers questions. TCARE’s intelligent alogorithms accurately measure caregiver burdens and develop care plans, allowing Washington State’s FCSP to allocate the appropriate resources to caregiver’s based on proven need. By accurately identifying caregiver burdens and providing tailored care plans, stress levels and burden for 84% of caregivers had diminished over a six month period. In the Washington State study, the mean score for the group decreased by 13% for stress burden, 10% for objective burden, 8% for relationship burden, 7% for identity discrepency (e.g. comfort with caregiving role), and 9% for depression. Scores for uplifts, or caregivers’ positive feelings, increased by 4%. These results reduced the risk of burnout among family caregivers, therefore decreasing Medicaid Long-Term Care/Long-Term Support Services by 20% and saving the state $20M annually. After the study, the TCARE was designated as a legislatively mandated tool to be utilized for family caregivers.

You can view the full Washington State Case Study here.

We’ve proven that increasing quality of life does lead to cost savings.

Randomized, controlled and longitudinal studies has shown that TCARE has improved outcomes for family caregiver, patient & payor.

Used by over 250+ organizations & 500+ care professionals, serving over 100,000+ family caregivers nationwide
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Logo “TCARE provides a consistent, objective, and reliable screening and assessment process that identifies at-risk caregivers.”
Logo CMS-1115 Approved, TCARE has been found to assist Medicaid objectives.
Logo Since 2009, the TCARE protocol has been legislatively mandated caregiver screening & assessment tool in Washington State.