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Case Management - Definition, History, Integrating Health Care, Case Management In Medicare, Consumer-directed Care

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Case management in health and social service programs for older adults has evolved since the 1970s. This evolution reflects a changing public policy environment, a clearer appreciation of the challenges of living with chronic illness faced by older adults and their caregivers, and the development of a variety of approaches to financing and providing services across the full continuum of care, including primary, acute, in-home, community-based, and long-term services. As a result, case managers are located in hospitals, clinics, community agencies providing in-home services, Area Agencies on Aging, adult day care centers, and health maintenance organizations. Case managers may be employed in government programs, nonprofit community agencies, and for-profit service providers, or may be in private practice. They attempt to rationalize the system of care for older adults and their caregivers.

Additional Topics

Case Management - Definition

There has been considerable discussion about what is an appropriate name for case management. In some programs the case management function is called "care management," "care coordination," or "care planning." There is an ongoing concern that the term "case management," conveys an undesired sense of bureaucracy. Clients and caregivers have ex…

Case Management - History

The nature of any case management service is defined and constrained by the program within which it is embedded (Beatrice; Applebaum and Austin). Therefore, many models of case management have been developed over time, reflecting changes in the goals of specific health and social service demonstration projects and programs designed to serve chronically ill older adults. Case management in communi…

Case Management - Integrating Health Care

A basic flaw in the community-based long-term care demonstration projects was absence of health care services. Case managers could only develop care plans and coordinate covered community-based and in-home services. Clearly this approach does not adequately address the health care needs of older adults, who are major utilizers of health care services. In order to effectively address this reality, …

Case Management - Case Management In Medicare

Older adults needing case management are often identified and assessed in the health care system. While chronic illness generates the greatest health care costs, medical management programs continue to focus primarily on managing acute events. Medicare beneficiaries in need of case management fall into two groups: individuals recently discharged from the hospital who have difficulty leaving ho…

Case Management - Consumer-directed Care

An innovation in publicly funded community-based long-term care services for older adults is consumer-directed care. Choice and control are key elements in this approach. Consumer direction ranges from the individual independently making all decisions and managing services directly, to using a designated representative to manage needed services. Although public long-term care programs generall…

Case Management - Conclusion

Case management is a response to the complexity and fragmentation of health and social service delivery systems. While there are common components, the practice of case management varies by setting. Although case managers assist with locating and coordinating services, the range of services they can coordinate and the options that are available will vary widely, depending on where on the care cont…

Cellular Aging [next] [back] Informal Caregiving - What Is Informal Caregiving?, Who Are The Family Caregivers Of Frail Elders?, The Consequences Of Providing Informal Care

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