Models for Integrating and Managing Acute and Long-term Care Services in Rural Areas

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Cutler Institute, Population Health and Health Policy, USM Aging Initiative, Health and Wellness

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Journal of Applied Gerontology


States and the federal government are searching for new managed-care strategies, such as capitated financing and coordinated case management, that integrate the financing and delivery of primary, acute, and long-term care services. For rural communities, the development of organizational and delivery systems, which better integrate and manage primary, acute, and long term care services, may help address long-standing problems of limited access to long-term care services. This article discusses the concept of integrated acute (medical) and long-term care service networks; model programs; challenges that health care providers, state policymakers, and others have faced in developing these new integrated structures; and the future of service-integration and coordination approaches in rural areas.


doi: 10.1177/073346480102000402

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