New Report On Quality Frameworks For Managed Care

Posted on December 13, 2018

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?

In October 2018, CQL | The Council on Quality and Leadership, The Institute on Public Policy for People with Disabilities, and Mosaic organized a symposium to address these questions. The symposium brought together 25 thought leaders in the healthcare and long-term services and supports (LTSS) industry, including service providers, industry associations, managed care organizations, and other stakeholders.

Over the course of the symposium, attendees worked to develop a common 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.

As a result of this symposium, CQL, in collaboration with symposium organizers and attendees, produced a report summarizing the symposium findings and as well as our data analysis of 28 service agencies supporting 3,000 people. You can view the detailed report, titled ‘Building The Framework For IDD Quality Measures,’ in order to learn about the symposium, findings, and next steps.

Symposium Attendees:

• Joe Caldwell, PhD, Visiting Scholar, Lurie Institute for Disability Policy, Brandeis
• Kathy Carmody, MA, CEO, Institute on Public Policy for People with Disabilities
• Lindsey Crouse Mitrook, MBA, Director of Value-Based Care, AmeriHealth Caritas*
• Stacy DiStefano, MS, COO, OPEN MINDS
• Katherine Dunbar, BA, Vice President of Services and Systems Excellence, CQL | The Council on Quality and Leadership
• Carli Friedman, PhD, Director of Research, CQL | The Council on Quality and Leadership
• Charlotte Haberaecker, BS, CEO, Lutheran Services in America (LSA)
• Angela King, MSSW, President and CEO, Volunteers of America Texas
• Erica Lindquist, MA, Senior Director of Business Accumen, National Association of States United for Aging and Disabilities (NASUAD)
• Mark McHugh, MSW, MEd, President and CEO, Envision Unlimited
• Barbara Merrill, JD, CEO, American Network of Community Options and Resources (ANCOR)
• Jay Nagy, BS, CEO, Advance Care Alliance
• Patricia Nobbie, PhD, Disability Policy Engagement Director, Anthem
• Stephanie Rasmussen, BA, Vice President of Long-Term Care, Sunflower Health Plan
• Mary Kay Rizzolo, PhD, President and CEO, CQL | The Council on Quality and Leadership
• Joshua Rubin, MPP, Principal, Health Management Associates
• Tracy Sanders, MEd, Senior Director, Behavioral Health Medicaid Services, Optum
• Jeri Schoonover, BS, CSO, Lutheran Social Service (LSS) of Minnesota
• Michael Seereiter, BA, Executive Vice President and COO, New York Alliance for Inclusion and Innovation
• Chris Sparks, MSW, President and CEO, Exceptional Persons Inc in Iowa*
• Linda Timmons, MA, President and CEO, Mosaic
• Laura Vegas, MPS, Project Director for MCO Business Acumen, National Association of State Directors of Developmental Disabilities Services (NASDDDS)*
• Marlin Wilkerson, BS, Senior VP of Operations, Mosaic

*Consortium members but could not attend in person meeting.

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Since 1969, CQL | The Council on Quality and Leadership has been a leader in working with human service organizations and systems to continuously define, measure, and improve quality of life and quality of services for youth, adults, and older adults with intellectual and developmental disabilities, and psychiatric disabilities. CQL offers accreditation, training, certification, research, and consultation services to agencies that share our vision of dignity, opportunity, and community for all people.