The principal finding of this report is that Channeling led to an increase in total costs for clients, including costs for medical and long-term care services and costs for shelter, food and other daily living expenses. The Basic Case Management Model appeared to increase these costs by about...

This report results from an investigation of the extent to which differential attrition form the research sample in the Channeling Demonstration might have led to biased estimates of program impact.

This report examines the site-specific impacts of the Channeling Demonstration in an effort to determine whether any one site or group of sites was more successful than others in achieving the objectives of the demonstration.

Channeling was expected to increase the use of formal community-based care by the frail elderly. However, if this led to substitution of formal for informal care, the public sector would then be paying for services otherwise provied by family and friends. There was no evidence that such...

The impacts of the Channeling Demonstration on hospital, nursing home and other medical service use as well as mortality can be summarized as follows. Channeling had noe impact on mortality; death rates for the treatment and control groups were very high but not statistically significant. The...

Over the past decade and a half, a series of demonstrations prior to the National Long-Term Care Channeling Demonstration have been fielded to test some form of case managed, community-based long-term care. Fourteen community care demonstrations funded through Federal Government waivers and...