Another week of developments that could reshape strategy for many organizations serving consumers with complex needs. At the end of last week, CMS “disapproved” the Texas Medicaid waiver (see CMS Rescinds Approval Of Texas Medicaid Waiver Extension). Analysts speculate that the reason behind rescinding the uncompensated care pools in these waivers—also found in Florida and Tennessee—prevents expansion of Medicaid and leads to higher costs (see Uncompensated Care Pool Waivers Undermine Health Coverage For The Uninsured). Time will tell if there is more to come.

Another change in the strategic landscape was the announcement that United HealthGroup’s Optum . . .

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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.


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The Modified Checklist for Autism in Toddlers (M-CHAT), a widely used screening tool for early detection of autism spectrum disorder (ASD) in children ages 16 to 30 months, missed 38% of high-risk toddlers who were later diagnosed with ASD, according to a study of Swedish national health data. The study analyzed 2,178 high-risk children born between 2013 and 2019 who were screened with the M-CHAT at approximately age 2 and followed through age 9 for… Read