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Know Your Worth-Negotiating LTSS Rates with Health Plans

A unique feature of the Ohio Duals Demonstration Project (MyCare Ohio) is the role played by Ohio’s area agencies on aging (AAA’s) in implementing an integrated care delivery system. Moving from an extension of government into a competitive market, AAAs in Ohio had to quickly develop cost structures and pricing models that adequately reflected their work (and risks) in the LTSS world.

Participants in this session, part of n4a’s 2016 annual conference, learned how to develop LTSS pricing in the absence of historical data. Participants also learned how to construct a pay-for-performance pricing component as part of a bundled-payment strategy. It’s critical to understand how to competitively position yourself as an integral part of the changing healthcare environment.

 

Presenters:

Susan Sigmon, Vice President of Managed Long Term Care, Direction Home Akron Canton Area Agency on Aging & Disabilities, Uniontown, OH

Gary Cook, COO, Direction Home Akron Canton Area Agency on Aging & Disabilities, Uniontown, OH

 

Know Your Worth-Negotiating LTSS Rates with Health Plans

Know Your Worth: Negotiating LTSS Rates with Health Plans (PDF of slides)