The closing of a social HMO: a case study.

Abstract:

:A social health maintenance organization (SHMO) integrates acute and long-term care and provides an extended-care benefit for elderly who are at risk of institutionalization. This article reports findings from a case study of the termination of the Group Health SHMO in Minnesota. Interviews were conducted with social workers and at-risk elderly who had been receiving long-term care through the SHMO. The case study examines the post-SHMO transition and the process of replacing SHMO care coordination and longterm care services. Most of the elderly and their caregivers indicated they were "losing ground"--that is, they were paying more or getting less care. Some were paying more for less care. Because they tended to switch to private-pay arrangements and to rely more on informal care, it appears that their care system became much less stable after the closing of the SHMO.

journal_name

J Aging Soc Policy

authors

Fischer LR,Leutz W,Miller A,von Sternberg TL,Ripley JM

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

57-75

issue

1

eissn

0895-9420

issn

1545-0821

journal_volume

10

pub_type

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