Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Submit your manuscript now - click here

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Aging and Health
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Fisher, H. M.
Right arrow Articles by Raphael, T. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fisher, H. M.
Right arrow Articles by Raphael, T. G.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Managed Long-Term Care

Care Integration Through Care Coordination

Holly Michaels Fisher, MS, MPH

Terrie G. Raphael, PhD

The Visiting Nurse Service of New York

The New York State managed long-term care demonstration program combines traditional home, community, and institutional long-term care services with other benefits integral to maximizing overall well-being for a frail elderly population. A distinguishing feature of the model is the responsibility to coordinate both covered and noncovered services. This article, a case study of VNS CHOICE, a managed longterm care plan that serves 2,500 New York City residents, describes the program’s operating structure, service delivery model, and care management strategies. By providing a capitated Medicaid long-term care benefit, VNS CHOICE can utilize a broad array of services, offer significant flexibility to care management staff, and support member and family involvement in care planning. Its broad care coordination responsibility allows it to achieve integrated care without integrated financing.

Key Words: managed care • long-term care • care coordination • frail elderly • home and community-based services • integrated care • integrated financing

Journal of Aging and Health, Vol. 15, No. 1, 223-245 (2003)
DOI: 10.1177/0898264302239027
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 GerontologistHome page
G. Mitchell II, J. R. Salmon, L. Polivka, and H. Soberon-Ferrer
The relative benefits and cost of medicaid home- and community-based services in Florida.
Gerontologist, August 1, 2006; 46(4): 483 - 494.
[Abstract] [Full Text] [PDF]

Home page
 Research on Social Work PracticeHome page
N. Claiborne
Efficiency of a Care Coordination Model: A Randomized Study With Stroke Patients
Research on Social Work Practice, January 1, 2006; 16(1): 57 - 66.
[Abstract] [PDF]

Home page
 J Aging HealthHome page
P. H. Feldman
From Philosophy to Practice: Selected Issues in Financing and Coordinating Long-Term Care
J Aging Health, February 1, 2003; 15(1): 5 - 14.
[PDF]

Home page
 J Aging HealthHome page
M. S. Sparer
Managed Long-Term Care: Limits and Lessons
J Aging Health, February 1, 2003; 15(1): 269 - 291.
[Abstract] [PDF]