Community Catalyst: Strengthening Long-Term Services and Supports A Tool to Assess and Improve Medicaid Managed Care

Shared to us by our colleagues at The SCAN Foundation: 

Many states are overhauling the delivery of long-term supports and services (LTSS) for consumers in Medicaid who are living with chronic illnesses and disabilities. They are shifting from fee-for-service models to contracting with Medicaid managed care organizations (MCOs) for some or all LTSS. In some states, this change is happening as part of demonstration projects to coordinate care for people eligible for both Medicaid and Medicare. Nineteen states are now managing LTSS and a handful more are actively planning for this change in 2014, according to Truven Health Analytics.

At its best, managed care could reduce fragmentation of care, expand access to community based services and increase the quality and efficiency of services. But there are significant risks for consumers if states or MCOs use managed care to cut services, squeeze out community providers or medicalize support services.

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
  • St. Barnabas Senior Services

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