Hi Beth,       This is not exactly on point, but may be of some help.  Regarding the question about the cost efficiency of scattered sites versus congregate sites,  attached is an article that compares costs of supported employment (a “scattered” delivery of service method) with shelter workshops (a congregate setting).

 

Debra

 

 

 

Hi all,

WI is moving to a for-profit managed care model that integrates LTSS, acute, primary and behavioral health under one plan. We are meeting with our State health services as they write the waivers/develop RFPs. They have had these questions. Does anyone have good resources to share:

 

n  Any specific measures that cross LTSS and medical. (social determinants and how they affect medical). Ari alluded to employment showing better health. Any data on that would be good.

n   data on ways to keep more expensive people in the community. (cost outliers). They didn't' particularly know the percent in WI that are true cost outliers…kept referring to 10-percent but said they didn't know actual percentage. I think you know what percent in TN equate with what percent of costs.

n  evidence/data on factors that could show that over time, amount of resources to high utilizers/outliers/more complex folks could be diminished/reduced using certain strategies, supports, etc.

n  They wanted to know, too, of data showing over time that “scattered site” could lead to lower cost than congregant

n  They wanted sample score cards/report cards that other states use that you think are good.

n  what quality measures can be used to help people be informed for selecting plans.

n  any other data  on whether “any willing provider” was a good thing or if there were other ways to ensure good relationships between providers and IHAs. I think the paper you sent below is good enough for this one.

 

Thanks!

Beth Swedeen

 

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