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Consumer Choices and Continuity of Care in Managed Long-Term Services and Supports: Emerging Practices and Lessons

Increasing numbers of states are transitioning their Medicaid long-term services and supports (LTSS) systems from fee-for-service models to managed care models, raising concerns among stakeholders that services will be disrupted and consumer choices diminished. 

Recent managed care transitions in Kansas, New York and Wisconsin were studied.  The authors found that little changed for consumers during the transition period, and services were not disrupted.  The findings are limited to the transition period studied.  Longer range impact on consumers of managed LTSS is unknown and should be monitored closely.

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