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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 5, 2023
In the swiftly evolving healthcare technology landscape, Managed Long-Term Services and Supports (MLTSS) clinical...
February 26, 2021
There are many different processes that can be used to determine the necessity, appropriateness, and efficiency of...