The use of case management services in long-term care insurance policies.
This article presents findings from a recently completed Health Insurance Association of America-sponsored survey that sought to measure the extent to which long-term care insurers utilize case/care management services in their policies. The survey sought to measure the extent to which long-term care insurers paid for newer, long-term care alternatives. Contrary to previous findings in the literature, the survey results show that case management services are typically delivered through a combination of internal and external networks, and are utilized primarily by insurers in employer markets. In light of national health care reform, these survey results indicates a need to reexamine the role of case management in delivering long-term care services, particularly within private financing mechanisms such as long-term care insurance.
Public Administration Institute, Fairleigh Dickinson University, Teaneck, NJ, USA.
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McSweeney
D019090:Case Management; D017050:Episode of Care; D006264:Health Benefit Plans, Employee; D018166:Health Care Reform; D007342:Insurance Benefits; D007353:Insurance, Long-Term Care / Q000331:legislation & jurisprudence; D008329:Managed Care Programs / Q000458:organization & administration / Q000706:statistics & numerical data*; D011787:Quality of Health Care; D014481:United States