To manage individuals with complex and ongoing needs—such as those with chronic illness, disabilities, or other conditions that limit their ability to function well in their daily lives—a growing number of states are turning to managed long-term services and supports (MLTSS) programs. Improving outcomes for these complex individuals focuses on comprehensive, coordinated care characterized by… Continue reading Optimize Your MLTSS Program to Effectively Manage Your Complex Populations
If you treat complex patients, chances are that social determinants of health (SDOH) affect your outcomes. Whether you’re sharing risk in a value-based care arrangement or negotiating a risk-based contract, a care management strategy addressing social, economic, and environmental factors that influence health can help you alleviate risk and improve health equity. But can you… Continue reading Integrating Social Determinants of Health to Improve Outcomes without Sacrificing Profitability
The pandemic has placed additional strain on member health, creating new challenges not only around how to safely deliver care, but also what types of care are delivered. Higher levels of depression and anxiety lead to an increasing need to treat the whole person by moving beyond medical needs to also address the behavioral and… Continue reading How Risk-Bearing Entities Can Extract Value from Care Management Programs
