Of those enrolled in New York’s Self-Direction model for people with intellectual/developmental disability (I/DD), 44% reported switching care managers more than once in the past two years, according to a recent assessment of the model operated by the New York State Office for People With Developmental Disabilities (OPWDD). The model enables individuals with I/DD to manage their own services when possible.

The focus of the assessment was on self-direction services available through the OPWDD Comprehensive 1915(c) Home- and Community-Based Services (HCBS) waiver. The assessment was conducted by Guidehouse, a consulting firm with . . .

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Autism & I/DD

Intellectual and developmental disabilities (I/DD) are a physical and/or cognitive impairments that occur before the age of 22. Autism spectrum disorder is generally considered a type of developmental disability that affects behaviour and communication. The autism and I/DD market provides supports and health care services to these populations. Over the past decade, there has been an increase in the changes and challenges affecting I/DD and autism markets—the move to managed care and value-based care, the shift away from residential treatment, the increasing emphasis on consumer-directed care, and new workforce challenges.


About 90% of children with autism in Chile have at least one medical comorbidity. More than half had insomnia (61%) or were overweight (52%). About 28% had allergic rhinitis or atopic dermatitis, and 27% had constipation. Researchers analyzed a retrospective chart review of 544 children diagnosed with autism between 2015 and 2023 at a specialized pediatric neurodevelopmental center in Chile. The children’s comorbid medical conditions were identified through standardized caregiver interviews, clinical examination, body measurements,… Read