Approximately 10% of individuals dually eligible for Medicare and Medicaid under the age of 65 have an intellectual disability or related condition.1 In general, Americans living with disabilities receive less preventive care, have a higher incidence of chronic conditions, and visit the hospital and emergency department more often — leading to much higher health care spending than for adults in the general population.2 Providers and health plans are increasingly using personalized approaches in a managed long-term services and supports (LTSS) environment to support people with intellectual and developmental disabilities (I/DD) in achieving their individual goals.
A recent policy brief by the Institute on Community Integration at The University of Minnesota estimated that at the current rate of closure, all large state-run I/DD facilities could either close or limit service to fewer than 15 people per setting by 2025.3 The trend of continued facility closures means the number of people with I/DD living in smaller person-centered community settings will continue to grow, placing increased responsibility on more community-based providers and health plans to better serve people with I/DD. Enhanced care coordination strategies, increased caregiver support options, and improved awareness within provider networks must be part of the plan to further support the unique health care needs of people with I/DD.
This webinar discusses strategies for providing coordinated care for individuals with I/DD, including person-centered medical assessment considerations for individuals with I/DD, risk stratification strategies to drive interventions, and family or caregiver support, education, and outreach. Speakers describe the current gaps in care for individuals with I/DD and share strategies for delivering person-centered care for individuals with I/DD through use of interdisciplinary teams (IDTs) and innovative care coordination models. The event concludes with an opportunity for participants to ask the featured speakers questions during a live Q&A session.
By the end of this webinar, participants should be able to:
- Describe the current gaps in care for individuals with I/DD;
- Provide strategies for delivering person-centered care for individuals with I/DD through use of innovative care coordination models; and
- Understand the impact of these strategies on outcomes of care.
- Stephan Deutsch, MD, Chief Medical Officer, Partners Health Plan of New York
- Joan Beasley, PhD, Research Professor, National Center for START Services, Director, National Research Consortium on MH-IDD, Institute on Disability (UCED), University of New Hampshire
- Emily Lauer, PhD, MPH, Director, Eunice Kennedy Shriver Center, UMass Chan Medical School
This webinar is intended for a wide range of interested parties, including frontline workers, LTSS providers and provider organizations (nursing facilities, adult day health programs, assisted living facilities, home health care, and community-based agencies), and staff at Medicare-Medicaid Plans, Dual Eligible Special Needs Plans, managed LTSS plans, and consumer organizations.
1Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission (February 2022). Beneficiaries Dually Eligible for Medicare and Medicaid Data Book. Retrieved from https://www.macpac.gov/wp-content/uploads/2022/02/Beneficiaries-Dually-Eligible-for-Medicare-and-Medicaid-February-2022.pdf.
2The Commonwealth Fund (2018). Creating Better Systems of Care for Adults with Disabilities: Lessons for Policy and Practice. Retrieved from https://www.commonwealthfund.org/publications/case-study/2018/sep/systems-care-adults-disabilities.