OPEN MINDS Analysis Finds Managed Care Adoption Rates Slower For I/DD Population Than General Population

Gettysburg, Pa. (May 31, 2016) — The OPEN MINDS market intelligence team recently released a new Market Intelligence Report that evaluates the service delivery systems for the I/DD population. Based on their research and analysis, the OPEN MINDS team reports that the adoption of managed care for the I/DD population is not happening at the same rate as the general population.

According to the report, about 18% (1.1 million) of the estimated 6.2 million consumers with I/DD receive some type of services and supports from state agencies for developmental disabilities, and about 12% (758,209) receive LTSS through Medicaid. Medicaid is the largest payer for LTSS to the I/DD population.

States often determine service system eligibility and assignment by the setting in which the consumer with I/DD is receiving services – either the community or in an intermediate care facility. This adds complexity because in each state, a consumer in a specific service setting may be assigned to different delivery systems for LTSS and medical services.

The OPEN MINDS analysis shows that while the delivery system for medical services for the I/DD population is split fairly evenly between managed care and FFS, the primary delivery system for LTSS is FFS. The report includes several helpful charts that provide a state-by-state breakdown of the data.

For a detailed summary of the report, check out the article, Medicaid Services For Consumers With I/DD – You Need A State Roadmap, which is available at no cost to the public. The OPEN MINDS Market Intelligence Report, “What Are The Medicaid Financing & Service Delivery Systems For The I/DD Population Receiving LTSS?”, includes five detailed state-specific analyses, including:

• Rules for assignment for the I/DD population to Medicaid managed care plans for medical services in each state
• The number of consumers with I/DD in each state enrolled in Medicaid managed care plans for medical services
• Rules for assignment for the I/DD population to Medicaid LTSS managed care plans for each state
• The number of consumers with I/DD receiving LTSS services via FFS and via managed care by state
• Summaries of state-specific policy changes around Medicaid services for consumers with I/DD

“This report aids provider organizations in understanding the multiple delivery systems that may be used by just one consumer with I/DD highlighting the need to develop coordinated whole person care for the I/DD population,” explains Athena Mandros, OPEN MINDS Market Intelligence Manager and co-author of the report.

Published weekly by OPEN MINDS’ team of experts, the Market Intelligence Reports are provided as a free resource to Premium & Elite members of the OPEN MINDS Circle. Click here for details on how to become a Premium or Elite member. The reports are also available for purchase in the OPEN MINDS store by clicking here.

OPEN MINDS is a national strategic advisory firm specializing in the sectors of the health and human service industry serving individuals with complex support needs: mental health; addiction treatment; children & family services; intellectual & developmental disabilities; chronic disease management; long term care; social services; correctional health care, reentry & diversion; and juvenile justice.

Founded in 1987 and based in Gettysburg, Pennsylvania, the 75+ associates believe by providing the latest market intelligence and management best practices to organizations serving the health and social support needs of the most vulnerable consumers, those organizations will be better able to provide efficient and effective services. Learn more at www.openminds.com.

For additional questions and inquiries, please contact Angela McDonald, Marketing Manager, OPEN MINDS at 717-334-1329 or info@openminds.com.