Nestor Plana, Founder, Chairman and Chief Executive Officer, Independent Living Systems (ILS), and Monica E. Oss, Chief Executive Officer, OPEN MINDS, explore how Florida built the nation's only statewide Medicaid long-term care provider service network, what it took to expand managed care to individuals with intellectual and developmental disabilities (IDD) for the first time, and why getting the integration of health, housing, and community supports right is the central challenge for the next generation of managed care.

As states across the country work to manage costs and improve outcomes for their most complex populations, the shift from institutional . . .

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Integrated Care Models

Integrated care models have become a basic premise for service delivery in the health and human service field. Stemming from the focus on comprehensive whole-person health, integrated care models include the complete array of services for a person’s health and well-being—physical health, behavioural health, pharmacy benefits, and social supports. For health and human service provider organizations, there are many possibilities to serve consumers by taking a whole person approach to health care. From care coordination initiatives and addressing the social determinants of health to integrating primary and behavioural health care, payers and health plans are looking for a holistic approach when it comes to managing complex consumer populations.


The New Jersey Department of Health (NJDOH) plans to create a single, integrated license for outpatient health care facilities that will allow the license holders to deliver integrated primary care, mental health, and addiction treatment services, as described in a new proposed rule. NJDOH anticipates that the integrated license will enable delivery of comprehensive, whole-person care, leading to improved health outcomes and a better consumer experience. Currently, provider organizations seeking to provide integrated care, primary… Read