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The Arizona Long Term Care System

T Riley, R L Mollica

    Journal of Case Management
    |January 1, 1996
    PubMed
    Summary
    This summary is machine-generated.

    The Arizona Long Term Care System (ALTCS) integrates Medicaid acute and long-term care. This managed care model successfully reduced expenditures by 17% compared to fee-for-service systems.

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    Area of Science:

    • Health Services Research
    • Public Health Policy
    • Managed Care Systems

    Background:

    • The Arizona Long Term Care System (ALTCS) was established as the first statewide capitated managed care program.
    • It integrates Medicaid acute and long-term care services for elderly and disabled individuals.
    • The program offers institutional, residential, and in-home care options.

    Purpose of the Study:

    • To evaluate the effectiveness and cost-efficiency of the Arizona Long Term Care System (ALTCS).
    • To assess the impact of a capitated managed care model on service delivery and expenditures.
    • To examine the expansion of home and community-based services within ALTCS.

    Main Methods:

    • Analysis of a statewide capitated managed care system (ALTCS).

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  • Review of program data, including service utilization and expenditure comparisons.
  • Assessment of monitoring, case management, and member satisfaction mechanisms.

    • Main Results:

    • ALTCS expenditures were found to be 17% lower than traditional fee-for-service systems.
    • The program successfully incentivizes home and community-based care, increasing capacity from 5% to 40%.
    • Regular monitoring and oversight ensure cost-effective and timely service delivery.

    Conclusions:

    • The capitated managed care model of ALTCS demonstrates significant cost savings.
    • Expansion of home and community-based services is feasible and effective within this system.
    • ALTCS provides a successful model for integrating acute and long-term care services for vulnerable populations.