Number: RL30813
Title: FEDERAL AND STATE INITIATIVES TO INTEGRATE ACUTE AND LONG-TERM CARE: ISSUES & PROFILES
Authors: Edward Alan Miller, Domestic Social Policy Division 
Abstract: In exploring integration of acute and long-term care, this report begins by characterizing the dually eligible population and describing the problems associated with meeting their health and social service needs in an uncoordinated system. It analyzes the advantages of using capitation and care management as the vehicle for integrating those services and by discussing concerns about care integration strategies. It profiles nine federal and state programs that to varying degrees integrate the acute and long-term care services that Medicare-Medicaid dual eligibles often require. Proposals that explore using care management techniques to integrate Medicare and Medicaid service delivery without capitation are also discussed.
Pages: 59
Date: Updated January 22, 2001