title: Retooling for managed care: one size does not fit all!
abstract: As long as the patient admission of MA to PPS is no higher than 30 percent, the impact is easily managed within normal operations, requiring only minor realignment. When the percentage jumps to 40 percent, the impact begins to affect normal operations, requiring significant changes in operations Once the ratio exceeds 50 percent, the organization can be threatened if major changes are not made to accommodate the disruption in the operational systems and financial impact.
authors.affiliation: VNA Services and Foundation, Western Pennsylvania, USA. kwright@vna.com
authors.forename: Kristy
authors.initials: K
authors.lastname: Wright
authors.forename: Liz
authors.initials: L
authors.lastname: Powell
mesh_terms: D018588:Fee-for-Service Plans / Q000458:organization & administration; D008329:Managed Care Programs / Q000458:organization & administration*; D009936:Organizational Innovation; D012051:Reimbursement Mechanisms; D014481:United States