Last year's I/DD Executive Summits held in Clearwater, FL, and Long Beach, CA, sold out. Don't miss your chance to attend the only one this year!
Over the past few years, we’ve seen the slow emergence of value-based contracting initiatives between payers and intellectual/developmental disabilities (I/DD) provider organizations. With this shift, there are many potential challenges on the horizon, and strategically navigating the road to value-based reimbursement is complex – for both provider organizations and health plans. As this market transition expands, the key question is how provider organization executives can partner with health plans to manage this disruption and position their organization to be sustainable. To answer this question, Olivia J. Garland, Ph.D., Vice President State Consulting and Solutions Architecture for Individuals with Intellectual & Developmental Disabilities, and Lilli Correll Vice President, Product Development and Solution Design of Optum will open the summit by sharing the health plan perspective on this transition to managed care and discussing the challenges and opportunities for provider organizations.
A key challenge for organizations in the I/DD market is how to get the scale needed to provide services at a competitive market rate. But growing an organization takes capital—to expand geographically, build new service lines, enhance staff and technology infrastructure, and more. There are many new financing models available for provider organizations as they look to building a strategy for sustainability in a shifting market – ranging from private equity investments, to organizational collaborations. In the past few years this has changed with a growing number of sophisticated investors entering the I/DD marketplace, ranging from roll-ups of outpatient clinics to the purchase of long-term residential supports. This interactive discussion panel will include:
• Review of potential opportunities and risks of new financing models, including merging with other organizations or investing for growth
• Perspectives on emerging buyer trends and what drives investor valuations
• Discussion of the future direction of financing in the I/DD marketplace
The transition to managed care has been speeding up in the I/DD market recently. In many state Medicaid systems, the I/DD population is being shifted into managed care models for long-term services and supports (LTSS) and other services. This transition requires organizations serving I/DD consumers to build a new business model for continued organizational sustainability and to develop new competencies for working with health plans – including managing data and performance, marketing and contracting functions, revenue cycle management, and new service line development capabilities. In this discussion session, our panel will cover:
• The challenges of shifting to capitated and value-based financing models in the I/DD market
• Best practices in building new competencies to master the shift to managed care
• Case study examples of organization that are successfully navigating the move to managed care
Executives of I/DD provider organizations are facing many new challenges as we look to the future: new financing and service delivery models, changing consumer preferences, shifting payer expectations, new competitors, and disruptive technology innovations. But each of these market trends are leading towards the same market strategy – a system that is focused on self-determination, community participation, development of life sharing and supported living options, and improved integration of physical, behavioral, and long-term support services. In this can’t-miss keynote address, OPEN MINDS CEO Monica Oss will cover the trends and innovations shaping the I/DD service landscape; discuss the essential competencies and capabilities executive teams need to thrive in the changing market; and review the key strategic issues and new opportunities for provider organizations in this time of uncertainty.
Exploring the payer and provider partnerships that are leading the way in the new era of value-based careRead More