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Social Health Maintenance Organization
A
managed system of health and long-term care services
geared toward an elderly client population. Under
this model, a single provider entity assumes responsibility
for a full range of acute inpatient, ambulatory,
rehabilitative, extended home health and personal
care services under a fixed budget which is determined
prospectively. Elderly people who reside in the
target service area are voluntarily enrolled. Once
enrolled, individuals are obligated to receive all
SHMO covered services through SHMO providers, similar
to the operation of a medical model health maintenance
organization (HMO). |
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