• LTSS clinical guidelines help health plans navigate the challenges of increased demand

      Carpenter, Jessica (2018-02-28)
      Long term services and supports (LTSS) clinical guidelines are the foundation of a successful LTSS utilization management program. Strong guidelines help health plans drive LTSS programs toward positive outcomes such as consistency in decision making, clinically appropriate services, contained costs and program integrity. The goal is ensuring individuals receive the right service, in the right setting, and at the right time. As the independent living movement continues to advance, more individuals with disabilities are seeking to live in their own homes or within a community setting. As such, there has been an increased demand for LTSS. Increased demand combined with service supports of varying costs and inconsistencies in service delivery across provider types can lead to challenges in LTSS delivery, including inappropriate utilization of services.
    • MassOptions transforms the way elderly and people with disabilities get much needed long-term services and supports in Massachusetts

      Auger, Jeff A.; Topi, Kerrie (2018-06-06)
      Some of the Commonwealth’s most underserved populations—the elderly, people with disabilities, and their caregivers— now have simplified access to the long-term services and supports (LTSS) they need, thanks to MassOptions, an innovative collaboration between UHealthSolutions, the nonprofit business affiliate of UMass Medical School, and the Massachusetts Executive Office of Elder Affairs.