Describes variations in case management approaches based on a national evaluation of Medicaid 1115 and Medicare 222 community-based care demonstrations. Presents the costs of producing case management services for selected programs. Less professionalization and less specialization of case management functions are associated with lower service…

Describes the intervention approaches, clients groups, and impacts on use of Medicaid and Medicare reimbursed services for five demonstrations included in the national evaluation of community-based long-term care. Only one project produced significant reductions in nursing home use. Unlike other projects, it identified potential clients through…