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Utilization Rate Case Study
The Challenge
A health plan with 10,000 MLTSS members was facing challenges with inconsistent hour allocations and
coding for ADLs and IADLs. Not only were assessors applying varying ...
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November 6, 2025
The Challenge A health plan with 10,000 MLTSS members was facing challenges with inconsistent hour allocations and...
September 17, 2025
In Managed Long-Term Services and Supports (MLTSS), no two states and no two health plans are exactly alike. Each state...
July 9, 2025
Implementing new technology can be one of the smartest moves your organization makes, but it doesn’t always come...
April 15, 2025
Imagine two different assessors walking into Mrs. Thompson's home, a new member seeking Home and Community-Based...
March 20, 2025
When creating an effective service plan for a member, care managers are responsible for determining the optimal...
February 5, 2025
In the world of Managed Long-Term Services and Supports (MLTSS), accurate functional assessments that reflect true...
March 19, 2024
In the ever-changing landscape of Managed Long-Term Services and Supports (MLTSS) organizations, a critical challenge...
September 5, 2023
In the swiftly evolving healthcare technology landscape, Managed Long-Term Services and Supports (MLTSS) clinical...
September 13, 2022
There are a variety of non-clinical factors that keep your members from getting the care they really need. Learn more...
February 26, 2021
There are many different processes that can be used to determine the necessity, appropriateness, and efficiency of...