In light of the fact that many MCOs have limited or no experience providing home and community-based services (HCBS), and the reality that there are very few reliable and tested HCBS quality measures that reflect outcomes, it is especially important to advocate for the development and use of quality measures that are created in accordance with a set of core principles and with input from beneficiaries, advocates, and other stakeholders. As MCOs take over responsibility for delivering LTSS, states, health plans, advocates and beneficiaries require this data to be able to track whether beneficiary needs are being met over time and across MCOs. Ultimately, if similar outcome measures are used across programs and service settings (e.g., community versus institutions), data can be used by consumers to make better choices, and by advocates and policy makers to assign resources to programs and settings with better outcomes.
For more detailed information read “Identifying and Selecting Long-Term Services and Supports Outcome Measures” (January 2013) and “Selected Inventory of Quality-of-Life Measures for Long-Term Services and Supports Participants Experience Surveys” (December 2012).
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