I've been thinking a lot about the big takeaway from our 2020 OPEN MINDS I/DD Executive Summit. Which of these changes that we discussed will drive strategy? The changing intellectual and developmental disability (I/DD) consumer population—with more health care co-morbidities and increasing age? The clinical and financial struggles of I/DD-focused specialty provider organizations during this pandemic crisis? More managed care and value-based reimbursement financing services for this population? The consumer and caregiver focus on person-centered planning? Or the health plan focus on the “total cost of resources” for these consumers—and . . .

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