Many health plans, accountable care organizations (ACOs), and community-based organizations and partners are working with Medicaid programs to transform health care delivery and transition fee-for-service long-term services and supports (LTSS) to a managed care model known as managed LTSS (MLTSS).
The Goal: To enable individuals with disabilities to live and work in the setting of their choice, maintaining a satisfactory quality of life—while receiving appropriate services to improve health outcomes and reduce costs.
The Challenge: To implement a MLTSS framework that will facilitate delivery of comprehensive, person-centered, cost effective health care services.
The Solution: Drawing on experience and knowledge gleaned from the successful development of a wide range of LTSS programs, Commonwealth Medicine can guide ACOs and community-based organizations with activities related to:
- Consumer Engagement
- Population Health
- Performance Improvement
- Workforce
- Flexible
- Heath Information Technology/Exchange
Jessica Carpenter discusses the importance of crafting a utilization management plan when developing an efficient managed long-term services and supports program, and explains how this can lead to substantial cost savings for state Medicaid programs.
Learn the actions health plan decision makers should consider while developing a comprehensive managed long-term services and supports program. Make sure individuals receive the right service in the right setting.
An overview of the managed long-term services and supports (MLTSS) national landscape with a focus on our MLTSS best practice framework and the role of LTSS clinical guidelines in that framework.
Building a successful Long Term Services and Support program starts with creating strong clinical guidelines, says Jessica Carpenter, Senior Director of Disability and Community Services. The goal is ensuring individuals receive the right service, in the right setting, and at the right time.
Jessica Carpenter discusses why states should guarantee contracts for Managed Long-Term Care plans include requirements for policies, guidelines, and processes that will provide the appropriate services to members, manage utilization, and ensure the state’s funding is used appropriately.
