Interfacing managed care and long-term care: understanding the issues.

Both marketplace forces and legislative initiatives are forcing the traditional fee-for-service long-term health care sector into the managed care arena. To identify and address the issues surrounding quality and cost-effective pharmaceutical use at the interface between managed care and long-term care, the Philadelphia College of Pharmacy and Science convened a day-long conference between managed care and long-term care medical and pharmacy directors. This paper outlines the discussion and recommendations in respect to these issues.