Nadash P
Policy Brief (Cent Home Care Policy Res). 2001(8):1-6.
This policy brief describes an innovative model of managed long-term care (MLTC) in New York State (NYS) that serves Medicaid eligible adults at a nursing home level of impairment, most of whom are also eligible for Medicare. The ten MLTC plans discussed here are capitated to provide all Medicaid funded long-term care (LTC) benefits. Plans are also responsible for coordinating primary and acute care services covered by Medicare. This MLTC model is currently offered by ten diverse organizations throughout the state and serves over 4,500 voluntary participants. It is the newest of the four MLTC models operating in NYS.
本政策简报介绍了纽约州(NYS)一种创新的长期管理式护理(MLTC)模式,该模式为符合医疗补助条件、失能程度达到疗养院水平的成年人提供服务,其中大多数人也符合医疗保险条件。这里讨论的十个MLTC计划按人头付费,以提供所有由医疗补助资助的长期护理(LTC)福利。这些计划还负责协调医疗保险涵盖的初级和急症护理服务。这种MLTC模式目前由全州十个不同的组织提供,服务超过4500名自愿参与者。它是在纽约州运营的四种MLTC模式中最新的一种。