It's been almost a year since I first heard Rafael Gonzalez-Amezcua, M.D., chief medical officer for Aetna Better Health of California, and his perspectives on complex care management during his keynote, A Payer’s Perspective On Crucial Integrated Health Components In The ‘Next Normal’ at The 2021 OPEN MINDS Management Best Practices Institute. His focus was on emerging best practices for managing the consumers with the most complex needs—medical, behavioral, and social. Over the past months, the opportunities for services for those consumers have expanded. The community support programs (in lieu of services) are expanding in . . .

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Disability Support & Long Term Care Services

Disability and long-term care refers to institutional and community-based care that support individuals with activities of daily living and services related to age or disability. Over the past decade, there has been an increase in the changes and challenges affecting the disability support and long-term care market markets—the move to managed care and subsequently value-based care, the shift to home- and community-based care, the increase in the aging population, and new workforce challenges.


Approximately 44.68 million U.S. civilians of all ages living in the community reported one or more disabilities in 2023, representing 13.5% of the noninstitutionalized population. Among adults aged 18 and older, the rate rises to approximately 16%. The analysis is based on data from the U.S. Census Bureau’s 2023 American Community Survey (ACS), which reaches approximately 4.7 million people annually with a response rate of about 85%. The most commonly reported disability type was ambulatory… Read