Managed Care

During this webinar, a panel of experts provide real-world strategies that CBOs can use to effectively expand access to their services, work with state Medicaid programs, contract with managed care, and ensure sufficient reimbursements.

The aim of this study was to gather information to gain a better understanding of the resources and assistance needs CILs may have with the new WIOA implementation guidelines in effect.

This webinar is presented by Mark Regan and Todd Swanson from the Law Offices of Hooper Lundy & Bookman PC. Their practices are dedicated to the representation of healthcare providers and suppliers.

The Center for Health Care Strategies (CHCS) and Manatt Health has developed a new toolkit that provides a targeted menu of long-term services and supports (LTSS) reform strategies adopted by state innovators that may be replicated by other states. The toolkit identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance their LTSS reforms.

Building Complex Care Programs: A Road Map for States is a guide for state leaders in establishing and advancing complex care programs. This guide from the National Governors Association Center for Best Practices (NGA Center) Health Division includes lessons learned from their work with states and effective practices gleaned from multiple pioneering state and local complex care initiatives.

This course, which consists of five (5) distinct segments for easy viewing, provides the rigorous yet practical approaches to pricing long-term services and supports. For many of organizations selling their services in order to generate maximum net income is an unfamiliar activity. However, there are many pricing models and approaches that have been deployed in other sectors from which CBO’s can learn. This course teaches profitable commercial pricing strategies.

This interactive session, from n4a’s 2016 annual conference, helped participants learn how to tell their organization’s story and package their “products” in ways that will help them get noticed and appreciated by health care payers. Presenters included representatives from health plans who discussed what they look for in a “pitch” from a community-based organization seeking to market its services.

This resource offers narrative considerations along with helpful tools to develop pricing for integrated care and community-based services. It covers pricing structures, how to set a price, and other pricing strategies.

This is a technical report about the supports and services that people with IDD receive through the State IDD agency. In addition to the report, there are state profiles, which describe status and trends for each state in the country, and a chart gallery, which is an interactive tool to view detailed data by state, year, and funding authority. Topics include ICF/IID and Medicaid Waiver recipients, expenditures and expenditures per person from 1977 to 2015.

This report reviews federal health and housing policies, noting the barriers created that seniors with clinically-driven housing insecurity must navigate. It also reviews a series of initiatives that ACAP members are undertaking to address housing as a social determinant for this vulnerable population, with examples from California, Ohio, and North Carolina.