A Request for Information About Managed Care
I am going to work on the development of a
Care Criteria - Critical Path, or Clinical Path, or Intervention Path (for the lack of better terms at this time) for
services for people with developmental disabilities. The model is the
patterned from the criteria developed for acute services or mental health
services. I do not want to base solely on mental diagnoses, but want to
utilize a functional diagnoses. I think that I can also incorporate a point
at which a stop-loss or risk pool could be implemented.
What I forsee is for a functional diagnoses a series of interventions that
would be expected from a contracted agency to provide. This would be fit
under a capitated rate. I will have to encompass the long term care part,
indidualization etc.
Do you know of any work that has already been done or any person, group or
agency looking at the same thing.
We also have groups working on:
I am very interested in
relooking at our system of residential services and developing a non
categorical system with rates based on individual support needs rather than
by category, rates for groups homes, Residential Care Facilities, etc. I have
reviewed the article on Support Brokerage and have talked with Michael Smull
and Gary Smith about it.
Any assistance or information are greatly appreciated. Please post this on
your web page. Any ideas or viewpoints is appreciated.
Robert Bauermeister (ADogbert@aol.com)
Kansas City, Missouri
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