LTSS and Managed Care: Improving Member Experience

What makes managed care different from fee-for-service models? With managed care, a case manager provides member-centric services that go beyond just health care. Especially for members who require Long-Term Services and Supports (LTSS), managed care offers centralized access to a broad range of services to achieve whole-person care. This can lead the member to a stronger feeling of engagement with their community.

The benefits of managed care can be seen most clearly during a health crisis. When an unexpected trip to the emergency room or hospital is needed, one call to the case manager can relieve the stress of coordinating all of the services and follow-up care, ensuring open communication between providers.

Case managers in a managed care model can connect members with many different types of care, including:

  • Standard medical services
  • Emergency services
  • Pharmacy services
  • Social services
  • Dental services
  • Transportation services

Learn how managed care can best serve members who require LTSS. 

Video: Managed Care vs. Fee-for-Service LTSS, Part 1: The Member Journey
Managed Care vs. Fee-for-Services LTSS Part 1: Member Journey

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