Case Management, Care Coordination, and Managed Care.

Abstract

(from the chapter) Appropriate access to care, quality of, and costs of health care for persons with intellectual and developmental disabilities (I/DD) can be examined by the success or lack of success of case management, care coordination, and managed care systems in the United States and internationally. As discussed in this chapter, a small amount of research has been done to test the efficacy of these systems. To be included in the review, studies had to be: (1) published since 1992, (2) written in English, (3) focused on people with I/DD and/or their families/caregivers, and (4) focused on the process or outcomes of case management/care coordination/managed care. The 33 papers meeting the inclusion criteria were reviewed and the following research questions were identified: (1) What effect does care coordination have on the use of health care facilities by people with I/DD? (2) What contribution does case management make to the care of people with I/DD who also have mental illness? (3) What contribution can case management make to the health and well-being of people with I/DD and their families/care-givers? (4) Can effective and acceptable case management systems be developed? (5) What impact does managed care have on the health and well-being of people with I/DD? (PsycINFO Database Record (c) 2010 APA, all rights reserved)