People with intellectual and developmental disabilities (I/DD) have, for many years, been carved out of Medicaid managed care, primarily because managed care plans are perceived as having insufficient experience to effectively serve the population. But this is changing as more states take advantage of the benefits available through managed care to bend the cost trend for services for people with I/DD, a population that incurs higher annual health care costs than people without I/DD yet experiences the worst health outcomes. Join this panel to learn about successful strategies for demonstrating organizational readiness for the I/DD population from the RFP process through go-live and implementation.
The three panelists, comprised of a person with lived experience, a managed care executive, and a former state I/DD director with managed care experience, will identify pain points and provide interventions designed to promote health equity, minimize member and provider abrasion, and manage costs across all aspects of managed care operations including member services, care management, utilization management, pharmacy, network adequacy, and IT.
Using real-life scenarios, panelists will draw on their lived experience and professional expertise to highlight the opportunities and pitfalls associated with managed care organizational readiness for people with I/DD and provide a framework for structuring an effective organizational readiness review process. Attendees will be encouraged to share their experiences (both positive and not-so-positive) while demonstrating readiness to serve the I/DD population.
Presenters
Taylor Blake, National Director of Network Management and Long-Term Services and Supports, Elevance Health
