Strategies in a managed care system: one agency's experience

On July 1, 1995, the Illinois Department on Aging and Council for Jewish Elderly began a 3-year venture called the Managed Community Care Demonstration Project (MCCDP). This prospective, capitated system is an offshoot of Illinois Community Care Program, the existing fee-for-service program of home and community-based services for the poor elderly. The authors describe the genesis of the MCCDP and its design as well as the strategies CJE has undertaken to succeed in a managed care system. The authors then focus on how the changes have affected the care manager's role and responsibilities.