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Why Assessment Accuracy is Essential to Reducing Waste in HCBS Programs

When conversations about fraud, waste, and abuse (FWA) in healthcare occur, fraud and abuse often receive the most attention. Yet for Home and Community-Based Services (HCBS) programs, potential waste is frequently the largest challenge.

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More Articles

Why Assessment Accuracy is Essential to Reducing Waste in HCBS Programs

August 3, 2026
When conversations about fraud, waste, and abuse (FWA) in healthcare occur, fraud and abuse often receive the most...

New Assessment, New Challenges: Protecting Clinical Accuracy During MLTSS Transitions

March 9, 2026
For clinical teams in MLTSS, assessments are more than a compliance requirement; they are the foundation for care...

Utilization Rate Case Study

November 6, 2025
The Challenge A health plan with 10,000 MLTSS members was facing challenges with inconsistent hour allocations and...

Why Agility in MLTSS Software Matters

September 17, 2025
In Managed Long-Term Services and Supports (MLTSS), no two states and no two health plans are exactly alike. Each state...

Turnover During Tech Transitions? Here’s Why That’s Not Always a Bad Thing

July 9, 2025
Implementing new technology can be one of the smartest moves your organization makes, but it doesn’t always come...

Acknowledge Assessor Differences & How to Enhance Consistency for Better Outcomes

April 15, 2025
Imagine two different assessors walking into Mrs. Thompson's home, a new member seeking Home and Community-Based...

Task-Level vs. Rules-Based Time Allocation: A Critical Choice in Service Plan Development

March 20, 2025
When creating an effective service plan for a member, care managers are responsible for determining the optimal...

The Critical Role of Accurate Assessments in MLTSS

February 5, 2025
In the world of Managed Long-Term Services and Supports (MLTSS), accurate functional assessments that reflect true...

Bridging the Gap: Uniting Finance, Clinical Operations, and Technology in MLTSS Organizations

March 19, 2024
In the ever-changing landscape of Managed Long-Term Services and Supports (MLTSS) organizations, a critical challenge...

Leveraging Technology for Optimized Utilization Management, Streamlined Workflows, and Better Patient Outcomes.

September 5, 2023
In the swiftly evolving healthcare technology landscape, Managed Long-Term Services and Supports (MLTSS) clinical...