The health insurer Optum has launched a national initiative to improve self-direction and decision making for people with intellectual and developmental disabilities (I/DD). Subject matter experts participating in the initiative since June 2017 are planning to report their recommendations during the first quarter of 2018 through a series of work group reports. The work groups are considering the following topics: Defining a "Shared Framework" of self-determination for people with I/DD. The group will consider such questions as: What does informed decision-making look like? How can individuals get information about options so they can . . .