The innovative model of capitated acute and chronic care for nursing-home-eligible elderly persons, which was developed at On Lok in San Francisco’s Chinatown and stresses using community care in lieu of institutional care, has been replicated at eight sites around the country. The early experience in developing these sites tests the extent to which the principles of this approach, based on day health care, can be reproduced in a variety of other settings. Four of the eight sites have begun formal capitated care; enrollment has been less active than anticipated, apparently due to reluctance to change physicians and resistance to day care.
Bibliographical noteFunding Information:
1This paper was prepared as part of the work of the University of Minnesota Health Policy Center under a grant from the Health Care Financing Administration (#99C 99169-5-02). The opinions expressed in this paper are those of the authors and do not necessarily reflect the opinions of HCFA, the University of Minnesota, or the HCFA Policy Center. The authors thank the staff at the PACE sites and at On Lok for their extended cooperation. Responsibility for the conclusions rests with the authors. ^University of Minnesota School of Public Health, Mayo Box 197, 420 Delaware Street SE, Minneapolis, MN 55455. 'The Brookings Institution. 4Office of Research and Demonstrations, HCFA.
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- Capitated care
- Chronic care
- Day care