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pubmed-article:10820922pubmed:abstractTextManaged care is reshaping our health care system, although long-term care is only beginning to feel its effects. We report on the managed care involvement of 492 multilevel, long-term care facilities (MLFs; including skilled nursing and assisted/independent living) nationally. Organizational structure and culture and especially environmental characteristics are associated with whether facilities have contracts with managed care organizations (MCOs), plan to have contracts, are only gathering information on MCOs, or intend to do nothing in the near future. Resource dependence theory best explains MCO contracting patterns with MLFs appearing to be responding more to survival than to growth.lld:pubmed
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pubmed-article:10820922pubmed:authorpubmed-author:WallaceS PSPlld:pubmed
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pubmed-article:10820922pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:10820922pubmed:articleTitleManaged care and multilevel long-term care providers: reluctant partners.lld:pubmed
pubmed-article:10820922pubmed:affiliationUniversity of California at Los Angeles, School of Public Health and Borun Scholar 90095-1772, USA. swallace@ucla.edulld:pubmed
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pubmed-article:10820922pubmed:publicationTypeComparative Studylld:pubmed
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