Abstract
The development of new models of understanding the disabling process, the changing system of financing health care in the US, and the increasing incidence of disability is challenging rehabilitation to define new models of care delivery. Current models of comprehensive medical rehabilitation include multidisciplinary therapy in inpatient, outpatient, home and community settings. Managed care and the development of capitated funding systems for health care financing will challenge rehabilitation to prevent disability in a population. A model system for comprehensive rehabilitation in managed care known as the Community Integration Rehabilitation Model advocates the development of a continuum of services including a strong community-based rehabilitation system.