title: Cash and counseling and managed long-term care?
abstract: This article presents the results of a survey on the interest of managed care organizations (MCOs) in developing a "cash and counseling" (C&C) option for delivering long-term personal assistance services. Forty-five percent of the respondents expressed interest, at least for some clients. Although specific experience with consumer direction did not have an effect, three organizational factors--larger size, non-PACE, and not limited to the elderly--predicted MCOs' willingness to consider this option. Respondents' comments give insights on concerns and benefits. This study provides a baseline that can inform further investigation of the compatibility of managed care and "Cash and Counseling."
mesh_terms: D016009:Chi-Square Distribution; D003258:Consumer Behavior / Q000191:economics; D003376:Counseling / Q000191:economics*; D006297:Health Services Accessibility; D006801:Humans; D008134:Long-Term Care / Q000191:economics*; D008329:Managed Care Programs / Q000191:economics*; D010548:Personal Health Services / Q000191:economics*; D011795:Surveys and Questionnaires