title: Integrating acute and long-term care.
abstract: Advocates of health system reform are striving to assure that a valuable new benefit for home- and community-based long-term care is included. Yet in many legislative proposals, a long-term care benefit is kept separate from the rest of the benefit package. Experience from the social health maintenance organization (social HMO) demonstration shows that for the elderly at least, community long-term care can be integrated with acute care, at a manageable cost. Acute and chronic disease and disability are experienced concurrently. Moreover, disability is not confined to a small group of permanently disabled persons but affects many other persons for short periods. Integration of long-term and acute care in a managed care model serving a broad population may promote more effective acute care and more efficient and affordable long-term care.
authors.affiliation: Institute for Health Policy, Heller School, Brandeis University, Waltham, MA.
authors.forename: W N
authors.initials: WN
authors.lastname: Leutz
authors.forename: M R
authors.initials: MR
authors.lastname: Greenlick
authors.forename: J A
authors.initials: JA
authors.lastname: Capitman
mesh_terms: D000368:Aged; D003191:Comprehensive Health Care / Q000191:economics*; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006279:Health Maintenance Organizations / Q000191:economics*; D006801:Humans; D008134:Long-Term Care / Q000191:economics*; D006278:Medicare / Q000191:economics / Q000331:legislation & jurisprudence*; D014481:United States