title: The evaluation of the National Long Term Care Demonstration. 4. Case management under channeling.
abstract: The channeling demonstration involved provision of comprehensive case management and direct service expansion. This article considers the former. Under both models, comprehensive case management was implemented largely as intended; moreover, channeling substantially increased the receipt of comprehensive care management. However, channeling was not a pure test of the effect of comprehensive case management: roughly 10-20 percent of control group members received comparable case management services. This was particularly the case for the financial control model. Thus, the demonstration was not a test of case management compared to no case management; rather, it compared channeling case management to the existing community care system, which already was providing comprehensive case management to some of the population eligible for channeling.
mesh_terms: D000368:Aged; D003153:Community Health Services / Q000458:organization & administration*; D005069:Evaluation Studies as Topic; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D010347:Patient Care Planning; D010865:Pilot Projects; D014481:United States