After several years of seeing managed care on the horizon for the intellectual/developmental disabilities market, we are now seeing many states take the first steps with implementations and plans for the future. These changing financial models requires changes in the business model. Provider organizations are expanding in new directions to provide more wholistic care and position themselves for accepting a different role with both health plans and government partners, as well as the families and persons served. In this session, we’ll talk to a panel of provider organizations who have built a wholistic approach to care for the I/DD population, or partnered with physical health provider organizations in an effort to create a new value proposition for the people served.

Providers of home- and community-based services have largely been managed by legislated systems with highly specific regulations. Often these requirements are only tangentially related the health and wellbeing of the persons being served. However, the shift to value-based payment opens up a larger and more wholistic view of the needs and desires of the intellectual/developmental disability population. This change is both an opportunity and a challenge. What are the key indicators of health in this population? How do we report on those indicators? What changes are needed in management and training systems to assure we are involved in continuous improvement? These areas represent new and undiscovered territory for our programs and staff. In this session, our panel will discuss these questions and offer their perspective on the future of performance management in serving the I/DD community.

More consumers with I/DD are covered by home- and community-based services (HCBS) waivers. More complex consumer populations are getting health care needs met via Medicaid managed care plans. More long-term services and supports are being moved to managed care. This is the reality of our current market. For provider organizations, this demands a new business model build on the development of new administrative competencies to manage risk and build new partnerships, a fundamental redesign of service delivery capabilities to incorporate more HCBS, and new technology capabilities. In this closing keynote session, OPEN MINDS chief executive officer Monica E. Oss will discuss the key trends that are shaping the landscape for provider organizations serving complex consumers and offer her best practice model for building a strategy for sustainability in a changing market.