The care manager’s mission was to do as much as a person needed without spending more than was required.
The Future of Care Management in the Aging Network: What Would Rosalie Say?
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Care Management and Self-direction: Compatible?
In self-direction, participants garner help from a counselor to think through ways to meet their needs for safely remaining in the community.
Care Management in Residential Settings: Added Benefit or Unnecessary Duplication?
Does it make sense to require independent care management for individuals who live in residential settings such as assisted living and nursing facilities?
Care Management in a Managed Care World: Can They Work in Concert?
‘Navigating services from two insurance plans and an assortment of LTSS providers can be very complicated, even for the most healthcare-savvy people.’
Care Management in a World of Many Cultures
‘Eye contact, spatial distance, touch, and non-touch are all important considerations when working across cultural and racial groups.’
How Does Care Management Interface with Behavioral Health?
Substance misuse and use treatment admissions among older adults have steadily increased over the past decade.
Care Management from the State Perspective: Issues, Challenges, and Improvements
‘National estimates predict that 70 percent of people older than age 65 will need some form of LTSS in their lifetime.’
The Role of Care Management in a Changing Healthcare System
Care management is one aspect of a multipronged approach needed to support individuals with complex care needs, including frail elders.
Care Managers and Families: Providing the Right Support
‘Family caregiving is so prevalent that often it is not recognized by society, nor by those providing the care.’
A Day in the Life of a Care Manager—2020
‘On the day of this diary entry, the care manager was serving a caseload of 124 clients.’
InsideAs the World Turns: Care Management’s Continued Role in an Ever-Changing Delivery SystemGenerations Journal
Generations Journal, vol. 45, no. 1 (Spring 2021)
The Future of Care Management in the Aging Network: What Would Rosalie Say?
Rosalie KaneAuthors' Note: During the past year, the aging network and the world of gerontology suffered the grievous loss of Dr. Rosalie Kane, a tireless investigator, author, speaker, and advocate, who concentrated much of her work on care management. When...
Care Management and Self-direction: Compatible?
Abstract: Twenty-five percent of all people receiving home- and community-based services (HCBS) are self-directing some or all of these supports. What does this mean for care managers? The Cash and Counseling Demonstration showed areas of possible friction as power...
Care Management in Residential Settings: Added Benefit or Unnecessary Duplication?
Abstract Discussions of care management in long-term services and supports (LTSS) for older adults often focus on coordinating home- and community-based (HCBS) services provided in-home. In some state Medicaid HCBS waiver and managed LTSS programs and demonstrations,...
Care Management in a Managed Care World: Can They Work in Concert?
Abstract Increasingly, states rely on Managed Care Organizations (MCOs) to integrate healthcare for dual eligibles. Barriers remain, especially when integrating non-medical long-term services and supports (LTSS). In California, the most effective Cal MediConnect plans...
Care Management in a World of Many Cultures
Abstract: This article discusses the intersection of culture, cultural competence, cultural humility, and implicit bias, and how they impact the diversity spectrum of older adults including people of color, members of the LGBTQIA population, those with differing...
How Does Care Management Interface with Behavioral Health?
Abstract: Care management in individuals with depression can result in highly positive outcomes, especially for socioeconomically disadvantaged older adults. Outcomes of intensive care management for homeless older adults with mental and substance use issues also are...
Care Management from the State Perspective: Issues, Challenges, and Improvements
The role of care managers within state systems is driven by the needs of the population(s) served, particular program goals the care manager works within, and what often can be a complex maze of programmatic, state, and federal requirements. Similar to care managers...
The Role of Care Management in a Changing Healthcare System
Abstract: The role of care management within healthcare is evolving to help healthcare organizations respond to the demands of outcomes-based financial arrangements, the COVID-19 pandemic, and persistent inequitable health outcomes. Comprehensive care management plays...
Care Managers and Families: Providing the Right Support
Abstract: If the goal of care management is to provide quality of life through care planning that is congruent with the wishes of older adults, then models for care management need to proactively include the family caregiver when they are part of the older adults'...
A Day in the Life of a Care Manager—2020
In the fall of 1988, Generations provided a glimpse into the daily life of case managers through a diary kept by one case manager employed in a Medicaid waiver program in California. Three decades and many system changes later, this article highlights care management...
The Demographics of Care Management
Abstract: Identifying individuals needing care management and those providing it in the United States is a first step to understanding how care management can positively impact health and financial outcomes for older adults. This article describes who is most...
Straight from the Source: Consumers’ Take on Care Management
Care managers make a difference in the lives of consumers and their families. To highlight the experiences of consumers, guest editor Jennifer Heston-Mullins interviewed a couple receiving care management through a local property tax levy program. Gaye (age 67) and...
The Core Elements of Care Management
Abstract: A half century of care management practice recognizes the enduring elements of the profession: assessment, care plan development, knowledge of benefits and resources, and advocacy. Emerging expectations regarding clinical expertise may exceed current...
Care Management at 50: A Life Review
Turning 50 seems like a good time to review what one has accomplished and to assess where to go next. As long-term services and supports (LTSS) care management reaches this milestone, a similar reflection seems appropriate. While the aging and health services delivery...
A Note of Appreciation to Two Women With Vision and Passion
Looking at the widespread availability across the nation of care-managed in-home services, it is easy to forget that what we have today simply did not exist twenty-five or thirty years ago. Several leaders in our field had the vision and passion to imagine a different...
Remembering Rosalie A. Kane
Rosalie A. Kane had a broad and sustained impact on the field of gerontology. She brought a fierce creativity and independence of thought to every question she attacked. Her unexpected death on May 5, 2020, leaves a hole in the hearts of her many students, friends,...
A Tribute to Joan Litchfield Quinn (1937–2015)
In our collective lifetimes, few individuals changed the way supports and services were delivered to older adults and those with disabilities. Joan Litchfield Quinn was one of that elite group. She was kind, self-assured, courageous, and willing to speak truth to...
Researching, Reimagining How We Manage Care
Anyone who has worked with older adults or cared for older family members quickly understands just how unmanageable many elders' lives can become once a cascade of illnesses hits. The guest editors of this Spring issue of Generations, “As the World Turns: Care...
What Do We (Still) Need to Know About Long-term Care Management?
Abstract: Over the past 40 years there have been many long-term services and supports policies and programs that have used care management to determine eligibility, allocate resources, or coordinate care. However, the evidence base for understanding the efficacy and...
Suggested citation for articles in this issue: [Last Name(s), First Name(s)]. “Article Title.” Generations Journal, vol. [#], no. [#] [season and year (ex. Fall 2024)]. [URL]
About Generations Journal
Generations Journal is the quarterly journal of the American Society on Aging. Each issue is devoted to bringing together the most useful and current knowledge about a specific topic in the field of aging, with emphasis on practice, research, and policy.