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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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A Health Plan's Guide to Social Determinants of Health (SDOH)

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There are a variety of non-clinical factors that keep your members from getting the care they really need. Learn more...

Utilization Management in Long-Term Services and Support

February 26, 2021
There are many different processes that can be used to determine the necessity, appropriateness, and efficiency of...

Accuracy in Long-Term Care Assessments

March 17, 2020
When it comes to home care, there is no shortage of assessments that capture a member's needs. These assessments can...