The effects of care management on efficiency in long-term care: a new evaluation model applied to British and American data

This chapter has three aims. The first is to sharpen theoretical argument and empirical research on the costs and benefits of alternative combinations of case management and other care inputs. Its results illustrate the importance of making the logics more precise. The second is to re-evaluate the impact of the leading American case management experiment in the light of the argument. The results show that this sharper theoretical perspective puts the outcomes of the experiment in a new light. The third is to use the framework applied to new evidence to draw conclusions for the implementation of budget-devolved care management in the United Kingdom.