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.

The evaluation of the National Long-Term Care Channeling Demonstration featured a randomized design in which applicants to the program were randomly assigned to either the treatment group, which had the opportunity to receive Channeling services, and the baseline, 6 months, 12 months and, for...

Suggests that local forces may explain why the Medicare managed care market has not developed as the optimists predicted.

Based on the findings presented in this article, HCFA is conducting another set of demonstrations on case management and care coordination, which Mathematica is helping to design.