The implementation of the EverCare demonstration project.
EverCare represents a creative approach to providing medical services to long-stay nursing home patients. It offers a capitated package of Medicare-covered services with more intensive primary care provided by nurse practitioners. The program's underlying premise is that better primary care will result in reduced hospital use. This work examines the implementation of the program in six locations. It identifies some of the issues that must be addressed if the program is to succeed both operationally and financially.
Kane
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University of Minnesota School of Public Health, Division of Health Services Research and Policy, Minneapolis 55455, USA.
Huck
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D000368:Aged; D002204:Capitation Fee; D003284:Contract Services / Q000191:economics; D005194:Family Practice; D005376:Financial Management; D005853:Geriatrics; D006279:Health Maintenance Organizations; D006760:Hospitalization; D006801:Humans; D008134:Long-Term Care / Q000145:classification / Q000191:economics / Q000458:organization & administration; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration; D006278:Medicare / Q000191:economics / Q000458:organization & administration; D009722:Nurse Practitioners; D009735:Nursing Homes / Q000145:classification / Q000191:economics / Q000458:organization & administration; D010348:Patient Care Team; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration; D016730:Program Development; D015397:Program Evaluation; D014481:United States