managed care

Integrating Health Care and Long-Term Care

Let me tell you about Frank. At  86, he has heart disease, diabetes, and kidney failure. He lives at home but struggles with the 16 medications he must take every day. He could also use some social support--maybe an adult day program, help shopping, or just somebody to keep him company. What Frank needs most of all is somebody who can help organize all of his medical [...]

Make Long-Term Care Insurance Part of Health Care

Why not make insurance for long-term care services and supports part of health care coverage? It is a radical idea that turns the current model—which often treats long-term care insurance as an element of retirement planning—entirely on its head.  The concept isn’t new. John Rother, who ran public policy for AARP for many years, talked about integrating long-term services and [...]

The Growth of Managed Long-Term Care

As Medicaid budget pressures grow, more states are turning long-term care over to private managed care companies. USA Today reports that six states now require both frail elderly and younger adults with disabilities to enroll in insurance-run Medicaid managed care plans. Another 10 states are planning to either create or expand these programs, according to the story. The reason, of course: money. States pay the [...]