Correcting The Mistakes That Undermine Strategy Execution: The Adelphoi Case Study is starting in

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What keeps Medicaid health plan executives up at night? Four issues top the list of barriers to coordinating care for high-risk consumers according to a recent survey – Annual Medicaid Managed Care Organization Survey: High-Risk Care Coordination.

Not surprisingly, 100% of Medicaid plan executives said that meeting the health-related social needs (HRSNs) of their high-risk members was a barrier. And this situation will likely be further complicated by the changing CMS policies on reimbursement for social support services (for more, see CMS To End Federal Medicaid Coverage Of Some Non-Medical Benefits).

Access to care was another key barrier with 95% reporting that access to specialty care was an issue. And access to behavioral health services was a specific concern of 91% of executives,