New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1:...

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New Community Opportunities Center at ILRU – Independent Living Research Utilization 1 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman Merrill Friedman Bill Henning Bill Henning Suzanne Crisp Suzanne Crisp New Community Opportunities Center at New Community Opportunities Center at ILRU Presents… ILRU Presents… 1

Transcript of New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1:...

Page 1: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization 1

Part 1: Managed Care 101

August 28, 2012

Presenters:

Merrill FriedmanMerrill Friedman

Bill HenningBill Henning

Suzanne CrispSuzanne Crisp

New Community Opportunities Center at New Community Opportunities Center at ILRU Presents…ILRU Presents…

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Page 2: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization 2

Part 1: Managed Care 101

August 28, 2012

Presenters:

Merrill FriedmanMerrill Friedman

Bill HenningBill Henning

Suzanne CrispSuzanne Crisp

New Community Opportunities Center at New Community Opportunities Center at ILRU Presents…ILRU Presents…

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Page 3: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Managed Long-Term Care Services Managed Long-Term Care Services and Supports (MLTSS)and Supports (MLTSS)

• The Basics of managed Long-Term Services and Supports

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Page 4: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Prevalence of MLTSS in the nationPrevalence of MLTSS in the nation

Truven Report •Comprehensive overview of a national environmental scan of Medicaid managed Long-Term Services and Supports•http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Delivery-Systems/Downloads/MLTSSP_White_paper_combined.pdf

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Page 5: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

The Basics of MLTSSThe Basics of MLTSS

• What is managed care and why are States adopting it?

• How can managed care support long-term services and supports, life in the community and the Olmstead mandate?

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Page 6: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Questions and AnswersQuestions and Answers

• Use the chat window on your screen to type in your questions

• Or press the number 7 on your telephone keypad to signal the operator

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Page 7: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

• What concerns do advocates have about Managed Long-Term Services and Supports?

• What are some strategies to reduce or eliminate concerns?

• How can we ensure a managed care program operates with integrity and how can we ensure personal and program outcomes are achieved?

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Advocate concerns about Managed CareAdvocate concerns about Managed Care

Page 8: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Questions and AnswersQuestions and Answers

• Use the chat window on your screen to type in your questions

• Or press the number 7 on your telephone keypad to signal the operator

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Page 9: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Quality Outcomes – Describing Quality Outcomes – Describing Successful MLTSSSuccessful MLTSS

• Describe the perfect MLTSS program.• How do we know Managed Long-Term Services and

Supports (MLTSS) are successful?

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Page 10: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Questions and AnswersQuestions and Answers

• Use the chat window on your screen to type in your questions

• Or press the number 7 on your telephone keypad to signal the operator

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Page 11: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Wrap Up and Evaluation SurveyWrap Up and Evaluation Survey

Your opinion counts! Click the link below to provide your evaluation of today’s webinar:

https://vovici.com/wsb.dll/s/12291g507cc

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Page 12: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

Contact InformationContact Information

Merrill Friedman - [email protected]

Bill Henning - [email protected]

Suzanne Crisp - [email protected]

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Page 13: New Community Opportunities Center at ILRU – Independent Living Research Utilization 0 Part 1: Managed Care 101 August 28, 2012 Presenters: Merrill Friedman.

New Community Opportunities Center at ILRU – Independent Living Research Utilization

New Community Opportunities Attribution

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This training is presented by the New Community Opportunities Center, a national training and technical assistance project of ILRU, Independent Living Research Utilization. Support for development of this presentation was provided by the U.S. Department of Education, Rehabilitation Services Administration under grant number H400B100003. No official endorsement of the Department of Education should be inferred. Permission is granted for duplication of any portion of this slide presentation, providing that the following credit is given to the project: Developed as part of the New Community Opportunities Center at ILRU.