This article presents a model of integration of home health care and case management programs, designed to improve outcomes and reduce cost. Components of screening mechanisms, interventions, and outcomes are described. Financial methods for funding such a model are discussed as well as how to position and market this type of program to managed care organizations. Preliminary results of such a program implemented in a staff model HMO demonstrate reduced beddays, increased memberlphysician satisfaction, high quality outcomes, and cost effectiveness.
Pacala JT, Hepburn K., Kane R., Kane R.Case management in health maintenance organizations. Final report. In: Chronic Care Initiates in HMOs. Washington, DC: Group Health Foundation; 1994 .
2.
Entoven AC, Singer SAManaged competition and California's health care economy. Health Affairs. 1996;15(1):47.
3.
Case Management Society of America.Standards of Practice for Case Management. Little Rock, Ark: Case Management Society of America; 1995.
