From a cost perspective, community-based services make sense.
More than one-third of Medicaid expenditures are directed to long term care, with the average cost of institutional care more than six times the average cost of services provided in the community.
From a quality of life perspective, community based services are a civil right. The Olmstead decision, (Olmstead v L.C. and E.W.) emphasized that mandate in 1999 when it supported ADA mandates of “the most integrated setting appropriate" for people with disabilities.
Considered a landmark decision for people with disabilities, Olmstead required states design community housing and service alternatives. In 2000, the federal government’s Health and Human Services agency (HHS) reinforced states’ responsibility to enact Olmstead. This was followed by President Bush’s introduction of the New Freedom Initiative (NFI) and Executive Order No. 13217, which re-states the Administration’s commitment to implement the integration mandates of the ADA as interpreted in Olmstead.
With the rate of growth of the elderly and those using long term care services outpacing all other subgroups, it is a fiscal and moral imperative for decision makers to strengthen community service options.
DDM Ascend manages comprehensive assessment methodologies to precisely match clients with the most appropriate placements and services. We specialize in developing comprehensive nursing facility and ICF/MR transition processes, covering the gamut of placement and reporting solutions, assessment strategies, data management solutions, provider quality monitoring, and data analysis