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Introduction PART ONE: OVERVIEW Prospective Payment Revolution and Long Term Care Restructuring of the Nonprofit Sector PART TWO: FROM HOSPITAL TO COMMUNITY Discharge Planners as Gatekeepers to Community Care Does Out of the Hospital Mean Out of Luck? Service Paradox PART THREE: HOME HEALTH AND NURSING HOME CARE Metamorphosis of Home Health Care Nursing Homes Under Prospective Payment Access to Nursing Home and Home Health Services PART FOUR: ELDER CARE AND THE COMMUNITY Informalization and Community Care Access in Peril Community Variation in Policy Implementation Waves of Change PART FIVE: THE FUTURE Policy Elites and Fiscal Crisis Empowerment Imperative No-Care Zone and Social Policy
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