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Related Experiment Videos

Managed long-term care: care integration through care coordination.

Holly Michaels Fisher1, Terrie G Raphael

  • 1Visiting Nurse Service of New York, USA.

Journal of Aging and Health
|March 5, 2003
PubMed
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Managing chronic conditions for elderly adults: the VNS CHOICE model.

Health care financing reviewยท2007
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New York's managed long-term care program integrates diverse services for frail seniors. This case study shows VNS CHOICE achieves coordinated care for elderly New York City residents without integrated financing.

Area of Science:

  • Gerontology
  • Health Services Research
  • Public Health Policy

Background:

  • Frail elderly populations require comprehensive long-term care solutions.
  • Traditional models often fragment services, impacting care quality and efficiency.
  • Managed care models offer potential for integrated service delivery.

Purpose of the Study:

  • To describe the operational model of VNS CHOICE, a managed long-term care plan.
  • To analyze the care coordination strategies employed by VNS CHOICE.
  • To evaluate the effectiveness of integrated care delivery without integrated financing.

Main Methods:

  • Case study methodology focusing on VNS CHOICE.
  • Analysis of program structure, service delivery, and care management.

Related Experiment Videos

  • Examination of the capitated Medicaid long-term care benefit model.

    • Main Results:

    • VNS CHOICE successfully coordinates a broad range of covered and noncovered services.
    • The capitated benefit provides flexibility for care management staff.
    • Member and family involvement in care planning is actively supported.
    • Integrated care was achieved despite the absence of integrated financing.

    Conclusions:

    • Managed long-term care programs can effectively integrate services for the elderly.
    • Broad care coordination responsibility is key to achieving integrated care.
    • The VNS CHOICE model demonstrates a viable approach to long-term care for frail seniors.