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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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April 15, 2025
Imagine two different assessors walking into Mrs. Thompson's home, a new member seeking Home and Community-Based...
February 5, 2025
In the world of Managed Long-Term Services and Supports (MLTSS), accurate functional assessments that reflect true...
March 17, 2020
When it comes to home care, there is no shortage of assessments that capture a member's needs. These assessments can...