Managed care and multilevel long-term care providers: Reluctant partners

Steven P. Wallace, Jodi Cohn, John Schnelle, Robert Kane, Joseph G. Ouslander

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)197-205
Number of pages9
Issue number2
StatePublished - 2000


  • Assisted living
  • CCRC
  • Long-term care
  • Managed care
  • Organizational change


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