The social/HMO. Case management in an integrated acute and long-term care system.

The Social/HMO is a national demonstration that has been in operation for five years at four private, nonprofit sites around the country. Key functions of Social/HMO case management include targeting the long-term care benefit/eligibility determination, service prescription that integrates post-acute and long-term care, close monitoring of clients, and fiscal accountability for long-term care benefit budgets.