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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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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...

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...

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...