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NAIC accession number:


Title of item:

Evaluation of the National Long Term Care Demonstration, The: Final Report

Author(s) of document:

Mathematica Policy Research, Inc.

Publication Date:

May 1986

Format of Item:


Physical Description:

230 p.


The National Long Term Care Demonstration, known as channeling, was a rigorous test of the effectiveness of comprehensive case management as a way of (1) containing the rapidly increasing costs of long term care, and (2) helping frail elders at high risk of institutionalization, whenever appropriate, to stay in their own homes rather than enter nursing homes. Channeling was intended to increase lower cost community service use by providing in-home care intervention to people who otherwise would have been in nursing homes (or hospitals. States participating in the channeling evaluation included: Florida, Kentucky, Maine, Maryland, Massachusetts, New Jersey, New York, Ohio, Pennsylvania, and Texas. This report presents the results of the test. Supplemented with extensive tables and notes, it details channeling effects on formal community service and hospital and nursing home use, effects on informal care, and effects on total costs.


Case management


National Long Term Care Channeling Demonstration


Frail elders


Health care reform


Community services

Issue Area:

Long Term Care

Availability Address:

Mathematica Policy Research, Inc., PO Box 2393, Princeton, NJ 08543-2393; (609) 799-3535; Fax (609) 799-0005; Website

Grant Number:


Grantee Name:

Mathematica Policy Research, Inc.

Grant Project Location:

New Jersey

Grantor Organization:

Health Care Financing Organization (HCFA); Administration on Aging (AoA); Assistant Secretary for Planning and Evaluation (ASPE)

Grant Performed By:

Mathematica Policy Research, Inc.