Making Managed Care Work For Complex Consumers

In the space of a decade, most consumers with complex needs are enrolled in some type of managed care plan. This is 15% of Medicaid consumers with an intellectual and developmental disabilities (see I/DD & Managed Care – What Are The Early Lessons For Providers?), and 40% of consumers who are dually eligible for Medicaid and Medicare are in some type of managed care plan (see Planning For The Changing Dual Eligible Market Opportunity). This has been a big shift for executives of health plans and provider organizations.

How provider organization executives can partner with health plans to manage these . . .