Adults with intellectual and developmental disabilities (I/DD) who also have a co-occurring mental illness are almost five times as likely to experience a delayed hospital discharge as adults with mental illness only, according to data collected by the Ontario, Canada-based Institute for Clinical Evaluative Services (ICES). Over a six-year data collection period ICES found that 6.1% of adults with I/DD and a mental illness had a hospital stay in which they stayed at least one day after being ready for discharge, compared to 3.3% of adults with I/DD alone, and 0.7 . . .

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Chronic Disease Management

The chronic disease management market encompasses consumers with chronic, complex conditions such as chronic kidney disease, diabetes, and heart disease. The challenges faced in this market are often compounded by the need for social services and supports. For provider organizations and health systems managing consumers with chronic conditions, a significant challenge that remains is addressing the rising cost of care for this population. As a result, payers are focusing on reducing the spend by increasing integrated models of care coordination across medical, behavioural, pharmacy, and social support systems. These new market forces are creating strategic opportunities for provider organizations that are serving this population.


There were 13.6 million people who were fully or partially dually eligible for Medicare and Medicaid for at least one month in 2022, according to a recent report conducted by two independent congressional agencies, the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission. Combined state and federal spending for dual eligibles totaled $548.8 billion in calendar year 2022. Medicare accounted for $351.4 billion (64%). About 38% of dual eligibles were… Read