Case management in the social health maintenance organization demonstrations.
Yordi, Cathleen L
Date of Pub
In this article, case management departments and roles during the early years of the social health maintenance organization
(S/HMO) demonstrations are compared. These organizations provide acute and chronic care services under a prepaid plan for
the elderly. Eligibility criteria for case management and chronic care services at each site are compared, followed by a description
of the resultant case mix of members receiving chronic care benefits. Case managers principal activities are described, and
a preliminary assessment is made about the strength of the linkages that have been developed between the case management component
of these plans and the larger health care system.
Aged : Comprehensive Health Care/economics : Health Maintenance Organizations/organization & administration : Human : Long-Term
Care/economics : Medicare/organization & administration : Patient Care Planning/methods : Pilot Projects : Support, U.S. Gov't,
Non-P.H.S. : United States