The use of case management services in long-term care insurance policies

This article presents findings from a recently completed Health Insurance Association of America-sponsored survey that sought to measure the extent to which long-term care insurers utilize case/care management services in their policies. The survey sought to measure the extent to which long-term care insurers paid for newer, long-term care alternatives. Contrary to previous findings in the literature, the survey results show that case management services are typically delivered through a combination of internal and external networks, and are utilized primarily by insurers in employer markets. In light of national health care reform, these survey results indicates a need to reexamine the role of case management in delivering long-term care services, particularly within private financing mechanisms such as long-term care insurance.