MLTSS Association Report on Strengthening the Direct Care Workforce 

This report captures emerging promising practices for MLTSS MCOs and providers to optimize the direct care workforce, as well as policy solutions for states and the federal government to facilitate and scale these practices more broadly.  

Developed by the Long-Term Quality Alliance (LTQA), in partnership with the MLTSS Association, highlights promising practices for MLTSS plans to support family caregivers

In this chapter of their June 2024 report to Congress, MACPAC highlights the role of care coordination data in assisting state efforts to evaluate integrated care and to oversee and monitor D-SNPs. Building on prior work, the Commission makes recommendations to states and the Centers for Medicare & Medicaid Services, that are intended to support states by providing a starting point for optimizing and overseeing SMACs and to explain how integrated care may benefit beneficiaries residing in their states. 

D-SNP plans are preparing for numerous, major policy changes and market disruptions over the next few years, as previously issued regulations come into effect, the MMP program ends, and as new policies are issued by the Trump Administration. This session will spur a provocative conversation about the current national landscape related to trends in declining MA plan coverage, changes at CMMI, and how health plans should be preparing for and rising to the occasion to meet these new challenges. We will share lessons learned across several markets, promising strategies for engaging with state leaders on these issues, and tactical steps necessary for continuing to deliver person-centered, innovative, and integrated care for dually eligible members during fiscally challenging times. 

70% of avoidable expenses are related to unnecessary ED and inpatient utilization, with the vast majority originating in the home.   This session explores what happens when Managed Care plans partner with PERS providers to integrate real-time data from the home into the care model - lower ED utilization, PMPM savings, and improved outcomes for members.   

This interactive working session explores the growing role of natural supports—family, friends, and community members—amidst today’s LTSS workforce crisis. Together, we will define natural supports, examine emerging trends in caregiving, and review best practices for engaging and sustaining caregivers. Through a case study and collaborative discussion, participants will identify strategies to identify natural supports, meet their diverse needs, and integrate them as essential partners in care. The session is designed to surface practical solutions that strengthen both caregivers and the LTSS system during a time of workforce shortages.