Florida Focuses on Choice
The sunshine state has a comprehensive LTSS program that still has some work to do on value-based care and is focusing on Managed Care
I/DD
Local Engagement in IDD Managed Care with AZ and MI
Local Engagement in IDD Managed Care in Arizona and Michigan THE VBP Blog [5/26/2020] – As promised, this blog will examine the last 4 states that offer I/DD managed care programs to their consumers. This week, we take a look at Arizona and Michigan. Arizona built a completely different structure than we have seen before with a state-run Division of Developmental Disabilities as the managing entity. Michigan’s managed care program is similar to that of North Carolina, focusing on county-based programs. These two contrasting styles have both found success and both have created unique solutions to manage the I/DD and MLTSS population. Arizona’s Managed Care Program Arizona’s Long-Term Care System (ALTCS) was established in 1998 for the management of Long-Term… Read More »Local Engagement in IDD Managed Care with AZ and MI
Onward Takes on New Meaning!
ONWARD Takes On A New Meaning THE VBP Blog Our blog has focused on the quality of services and how you can leverage measuring performance to continuously improve satisfaction, support our consumers, and keep you ahead of the game. Today, the challenges you face are monumental, so we will focus on supporting you and live by our mantra, ONWARD! With hourly updates on the COVID-19 situation, having resources you can rely on is paramount. We want to make sure that you have resources for not only your consumers, but your staff and your business to ensure you make informed decisions. With that in mind, we have compiled both news articles and resources for you to reference. Here are a few… Read More »Onward Takes on New Meaning!
How Did These Six States Launch I/DD Managed Care?
Deep dives into six states’ working managed care programs found some that achieved great success and others that stumbled right out of the gate.
Looking at States’ Managed Care Programs: Arkansas and Wisconsin
This week’s blog will break down the Arkansas and Wisconsin I/DD managed care programs.
Looking at States’ Managed Care Programs: Kansas and Texas
Break Through Value Based Payments Looking at States’ Managed Care Programs: Kansas and Texas THE VBP Blog Happy New Year! Let’s start 2020 where we left off in our last blog. We will review two of the ten states that currently are supporting the I/DD population with managed care programs. Using the Ancor 2018 White Paper, combined with our own research, we opted to break down Texas and Kansas. Both contract with Multi-state Commercial MCOs to administer their programs. Kansas’ fully capitated, MCO-based, state-wide program is called KanCare, started in 2013 with the I/DD enrollment portion starting in 2014. As of the end of 2017 there were 8954 people on the KanCare I/DD Waiver program. The initial goals for KanCare… Read More »Looking at States’ Managed Care Programs: Kansas and Texas
Looking at States’ Managed Care Programs: Iowa and Tennessee
Break Through Value Based Payments THE VBP Blog Looking at States’ Managed Care Programs: Iowa and Tennessee Managed care has been a slow mover for the I/DD population in multiple states. As of 2019, there are 229,817 Medicaid consumers with an intellectual/developmental disability (I/DD) enrolled in Medicaid managed long-term services and supports (MLTSS) programs. In fact, only ten states have adopted a policy for populations with special needs at all. As stated in our last blog, managed care for the I/DD population is the largest challenge to date. The need for lifelong care, high levels or care, and the Managed Care Organization’s (MCO’s) lack of experience with this community has made transitions difficult. In this blog, we are going to… Read More »Looking at States’ Managed Care Programs: Iowa and Tennessee
Quality in I/DD and MLTSS – Part 2
Continuing the conversation about the measures used in the evaluation of I/DD Services in a managed care environment
Quality Measures for the I/DD and MLTSS Communities
Break Through Value Based Payments Quality Measures for the I/DD and MLTSS Communities THE VBP Blog In our last blog we anticipated breaking down the current state models for I/DD communities. However, we attended the Rehabilitation and Community Providers Association (RCPA) conference and presented to the MAX Group, where we learned that many providers aren’t as attuned to the quality measures available in this area. So, acting on the counsel from many of you, we adjusted course, flexed a little and decided to spend a little time sharing the state of measures of quality being developed and used in this area. Once we have covered this fully, we’ll return to our discussion of state models. Our Advocate’s Perspective may surprise… Read More »Quality Measures for the I/DD and MLTSS Communities
Laying the Ground Work for VBP and I/DD
The current landscape of MLTSS and I/DD in Value Based Care is a work in progress.