Managed Care and Multilevel Long-Term Care Providers | Zendy

Steven P. Wallace | Zendy; Jodi Cohn | Zendy; John F. Schnelle | Zendy; Robert L Kane | Zendy; Joseph G. Ouslander | Zendy

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Managed Care and Multilevel Long-Term Care Providers

Author(s) -

Steven P. Wallace,

Jodi Cohn,

John F. Schnelle,

Robert L Kane,

Joseph G. Ouslander

Publication year - 2000

Publication title -

the gerontologist

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.524

H-Index - 138

eISSN - 1758-5341

pISSN - 0016-9013

DOI - 10.1093/geront/40.2.197

Subject(s) - managed care , business , long term care , health care , term (time) , nursing , medicine , economics , economic growth , physics , quantum mechanics

Managed care is reshaping our health care system, although long-term care is only beginning to feel its effects. We report on the managed care involvement of 492 multilevel, long-term care facilities (MLFs; including skilled nursing and assisted/independent living) nationally. Organizational structure and culture and especially environmental characteristics are associated with whether facilities have contracts with managed care organizations (MCOs), plan 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.

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