By A. Robert Dunbar, MPA, M.Ed., Senior Associate The other day, Monica E. Oss and several of my colleagues took a look at how the shift to managed long-term services and supports, coupled with the move to value-based care, is posing a double challenge for many provider organizations (see For Many Provider Organizations, The Shift To Managed Long-Term Care Is A Double Whammy). As the former chief executive officer of a community mental health center (CMHC), it got me thinking about the many challenges facing provider organizations as part of this conversation. While CMHC executives have long believed that the fee-for-service payment system was not a sustainable model…