MLTC

Meals on Wheels America Kicks Off 13th Annual March for Meals With Release of Groundbreaking Research Study

ALEXANDRIA, Va., March 2, 2015 /PRNewswire-USNewswire/ — Meals on Wheels America today releases the findings from a research study it commissioned Brown University’s Center for Gerontology and Healthcare Research to conduct with funding provided by AARP Foundation. The release of this groundbreaking study commemorates the start of the organization’s 13th March for Meals – a […]

States Turn to Managed Care To Constrain Medicaid Long-Term Care Costs

Introduction  At least 26 States now contract with managed care organizations (MCOs) to provide long-term services and supports (LTSS) for older adults and people with disabilities. MCOs receive a monthly payment per member to provide comprehensive care and assume the risk of managing the cost of care within that capitated rate. The goal of managed […]

Accurate Encounter Data a Must For Medicaid MCO Quality Measurement

With more than 60% of all Medicaid beneficiaries now enrolled in comprehensive, risk-based managed care organizations (MCOs), state Medicaid agencies that want to measure quality of those plans must have quality encounter data. Encounter data capture the items or services received by the member; they are managed care’s equivalent of claims in fee for service. […]

Managed-care plans increasingly taking over Medicaid long-term care. Not everyone is happy about it.

Kristin Bollinger of Freehold Township, N.J., had a routine when it came to her personal and health needs. Since six weeks of age, the learning- impaired 34-year-old has suffered from a seizure disorder that requires long-term care. She has difficulty with the basic tasks of living such as swallowing her food. For most of her […]