title: Managing chronic conditions for elderly adults: the VNS CHOICE model.
abstract: Chronic illness combined with functional impairment often results in an increased need for medical care and supportive long-term care (LTC) services. Navigating the health care system is challenging and complex, and even more so for patients with complex needs. Traditional fee-for-service care does not support and facilitate coordination and collaboration between providers and service settings. In New York State, managed LTC, a model of coordinated care for the chronically ill, endeavors to provide a bridge between primary, acute, home and community-based, and institutional LTC services for a medically complex and functionally frail nursing home eligible population.
authors.affiliation: WellCare Health Plans, Inc.
authors.forename: Holly Michaels
authors.initials: HM
authors.lastname: Fisher
authors.forename: Suzanne
authors.initials: S
authors.lastname: McCabe
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D017146:Models, Organizational; D009519:New York City