Purpose: The study's goals were to understand what changes in management practices would most improve the jobs of frontline workers from the perspective of workers themselves and to analyze differences across settings. Design and Methods: The baseline survey of direct care workers (N = 3,468) conducted as part of the National Study of the Better…

Examines what was learned from channeling demonstration about potential of case management agency systems for administering home care benefits. Considers both advantages (substitution of lower cost for higher cost services, negotiation of lower prices for services, quality assurance) and disadvantages (difficulty controlling participation rates,…

Notes that proposed federal long-term care reforms include eligibility criteria based on disability and cognitive impairment. Illustrates process of evaluating alternative eligibility criteria based on one possible targeting goal--serving those who need most care. Uses channeling data to construct measure of total care needs which is used to…