title: Transforming the long-term care system: policy and managerial challenges.
abstract: As the need for long-term care of people with disabilities increases, the model of care faces crucial changes, including a shift from institutional to independent living, significant changeover in organizational auspices, and policies created by the Americans with Disabilities Act. Such systemic changes pose fiscal, technological, and social challenges to policymakers and managers of care delivery.
authors.affiliation: Division of Aging and Disability, Health Care Financing Administration, Baltimore, MD, USA.
authors.forename: N A
authors.initials: NA
authors.lastname: Miller
authors.forename: S B
authors.initials: SB
authors.lastname: Clauser
mesh_terms: D006233:Persons with Disabilities / Q000331:legislation & jurisprudence; D005102:Health Expenditures; D006291:Health Policy; D006302:Health Services Research; D007348:Insurance, Health; D008134:Long-Term Care; D009936:Organizational Innovation; D017149:Private Sector; D017150:Public Sector; D014481:United States