IDD Quality Measures In Managed Care
How can the human services field ensure that people are having a meaningful life? What are the evidence-based quality measures that will help assess if it’s actually happening? As we start to see expansion of Medicaid managed care for people with intellectual and developmental disabilities (IDD), what is the impact that this will have on alternative payment models such as value-based reimbursement?
To help answer these questions and ensure managed care provides meaningful supports for people with IDD, CQL | The Council on Quality and Leadership, The Institute on Public Policy for People with Disabilities, and Mosaic have organized a think tank. This collaboration involves recurring symposiums among dozens of thought leaders in the healthcare and long-term services and supports (LTSS) industry, including service providers, industry associations, managed care organizations, and other stakeholders.
The report ‘Building The Framework For IDD Quality Measurement’ provides a roadmap for the key measures which would support people with intellectual and developmental disabilities (IDD) to receive high quality supports. It serves as one of many steps towards quality value-based services for people with IDD. It is a result of a symposium held in October 2018, organized by CQL | The Council on Quality and Leadership, The Institute on Public Policy for People with Disabilities, and Mosaic. The symposium brought together 25 leaders in healthcare and LTSS, including service providers, associations, MCOs, and others.
This report is a summary of symposium findings combined with a pilot study of 28 service agencies supporting 3,000 people. It establishes an understanding of value-based quality measures for people with IDD to ensure that as the industry moves to managed care, the quality metrics utilized are meaningful to people with IDD.
The report ‘The Move to Managed Care for Intellectual and Developmental Disability Services: Guidance for State Medicaid and DD Directors, and Payers’ details guidance regarding quality services and supports for people with IDD to ensure that as managed care moves into the IDD LTSS field, the right outcomes are utilized – services and supports that maximize quality.
A March 2019 symposium, organized by CQL, The Institute on Public Policy for People with Disabilities, and Mosaic, formed the basis for this report. It provides State Medicaid Directors, DD Directors, and Payers with practical steps for pursuing the ideal service system for people with IDD, involving quality standards, workforce issues, best practices, buy-in, along with recommendations and resources.