Article: The Chronically Ill and Managed Care.

Managed care institutions differ in their structures and strategies, but their organizational missions consistently include the improvement of community health. Despite this avowed mission, it is increasingly evident that this vital goal remains unmet for certain segments of the communities served. "Vulnerable" populations with "special needs" by definition require special attention. Patients and their families, regulators, insurers, and researchers are recognizing the importance of better serving these special groups. Those responsible for quality improvement, risk adjustment, and outcomes assessment are realizing that service to such groups is a critical component of ...

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