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Related Experiment Videos

Managed care. Pennies from heaven?

M Romano

    Contemporary Longterm Care
    |October 5, 1995
    PubMed
    Summary
    This summary is machine-generated.

    Managed care is expanding within Medicaid, but its application to long-term care services remains limited. This study explores the potential for Medicaid managed care to successfully function within the long-term care sector.

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    Area of Science:

    • Health Services Research
    • Public Health Policy
    • Healthcare Management

    Background:

    • Managed care enrollment constitutes nearly 25% of Medicaid participants.
    • Long-term care services are underrepresented in Medicaid managed care programs.
    • Significant questions exist regarding the feasibility and potential savings of managed care in long-term care.

    Purpose of the Study:

    • To investigate the viability and effectiveness of managed care models for long-term care within the Medicaid program.
    • To identify potential areas for cost savings and improved service delivery.
    • To examine existing model programs demonstrating successful implementation.

    Main Methods:

    • Analysis of existing Medicaid managed care programs.
    • Review of model programs focused on long-term care.

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  • Assessment of cost-saving potentials and operational successes.

    • Main Results:

    • A small number of model programs demonstrate the potential for successful Medicaid managed care in long-term care.
    • Challenges remain in identifying and realizing significant cost savings.
    • The applicability of managed care principles to long-term care requires specific adaptation.

    Conclusions:

    • Medicaid managed care for long-term care is feasible but requires tailored approaches.
    • Further development and evaluation of model programs are necessary.
    • The integration of managed care into long-term care holds promise for efficiency and participant well-being.