Wisconsin's Managed Long-Term Care Model

By Polivka, Larry J.; Zayac, Helen | Aging Today, November/December 2006 | Go to article overview

Wisconsin's Managed Long-Term Care Model


Polivka, Larry J., Zayac, Helen, Aging Today


Among, the current array of managed long-term care (LTC) programs, the Wisconsin Family Care Program (WFCP) may be the most instructive model involving aging-network programs. WFCP is administered by county service agencies in aging in the five project counties. The Milwaukee County agency is also the area agency on aging, administering programs mandated by the federal Older Americans Act. Although most states do not organize and administer their aging and LTC services through county governments, many do. For those that do not, WFCP offers many lessons useful in formulating versions of managed LTC programs.

Two important components of WFCP are the following:

Resource Centers. WFCP'S resource centers serve as single points of entry into the LTC system, providing information, counseling and access to all relevant services, along with information on providers, preventive healthcare and earlyintervention services. The resource centers are designed to serve not only Medicaid-eligible consumers, but also private-pay consumers and their families.

Care Management Organizations (CMOs). Key to the success of WFCP are its care management organizations. CMOs are county-based managed care organizations that receive capitated payments for all LTC services, including nursing home care. The capitation rate includes Medicaid, state and county funds consolidated into single monthly payments averaging about $1,800 a month per member. The capitation rate constitutes a strong incentive to keep consumers in the community by minimizing nursing home care costs and to create a seamless system in which individuals' needs dictate the services provided. The CMOs have also been able to eliminate waiting lists for eligible people in each of the five counties WFCP serves.

A comprehensive evaluation of WFCP released in 2005 demonstrated the program's relative cost effectiveness. During the two-year study period (20032004), average individual monthly Medicaid costs for WFCP members outside the metropolitan Milwaukee area were $452 lower than costs for their comparison group, who were not in the managed LTC program. Also, costs for members of the Milwaukee CMO were $5 lower than for their comparison group. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Wisconsin's Managed Long-Term Care Model
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.