For I/DD, The Question Isn’t Managed Care Or Not—It’s Residential Care Or Not

I walked away from the keynote by Nancy Thaler, Deputy Secretary for the Office of Developmental Programs at the Pennsylvania Department of Human Services—The Future Of Long-Term Services & Supports: A New Business Model For A Medicaid Managed Care Market—at the 2017 OPEN MINDS Executive Leadership Retreat with a different perspective than I had anticipated. Ms. Thaler's presentation did focus on the move of Medicaid long-term services and supports to managed care (MLTSS), and she provided some great background on that transition. But my big takeaway wasn't that managed care was a cost and . . .