One. What is/was the retrospective payment system that was most prevalent in long-term care reimbursement? How has the transition away from retrospective payments to influenced the delivery of care? What is managed care and how has managed care driven LTC organizations to consider new market and industry forces they’ve previously been disinterested in pursuing?
Two. From the perspective of public (government) versus private (managed care) financing for LTC services, what has evolved regarding competition within the LTC industry? From the perspective of HCO versus HCO, how do hospitals represent a large competitor pool to the LTC-only organization? Overall, what effect has competition had on the LTC industry sector?