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Managed care and multilevel long-term care providers
 — reluctant partners
Author(s)Steven P Wallace, Jodi Cohn, John Schnelle
Journal titleThe Gerontologist, vol 40, no 2, April 2000
Pagespp 197-205
KeywordsHealth services ; Long term ; Nursing homes ; Sheltered housing ; United States of America.
AnnotationManaged care is reshaping the US health care system, although long-term care is only beginning to feel its effects. The authors report the managed care involvement of 492 multilevel, long-term care facilities (MLFs, including skilled nursing and assisted or independent living) nationally. Organisational structure and culture and especially environmental characteristics are associated with whether facilities have contracts with managed care organisations (MCOs), plans to have contracts, are only gathering information on MCOs, or intend to do nothing in the near future. Resource dependence theory best explains MCO contracting patterns, with MLFs appearing to be responding more to survival than to growth. (RH).
Accession NumberCPA-001102206 A
ClassmarkL: 4Q: LHB: KLA: 7T

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