EmblemHealth and Advance Care Alliance Collaborate to Manage Integrated Services for Persons with Intellectual and Developmental Disabilities [Manufacturing Close – Up]

EmblemHealth, a health insurer, and Advance Care Alliance (ACA), a newly formed entity owned in partnership by Advance of Greater New York; Alliance Care Network and Long Island Alliance comprised of more than 75 not-for-profit service providers who have a history of working with the New York State Office of Persons with Developmental Disabilities (OPWDD), have established a collaboration to manage the care of individuals with intellectual and developmental disabilities (I/DD).

According to a release, the undertaking is in response to New York State's plan to enroll individuals with I/DD in new managed care plans that specialize in the management of habilitation and medical services for this population.

EmblemHealth said it and ACA will respond jointly to an OPWDD request for applications seeking entities to develop pilot initiatives to manage care for individuals with I/DD. Together, EmblemHealth and ACA would:

-Demonstrate that effective person-centered services, including care management, medical care coordination and input from families and individuals with I/DD, can produce new program approaches and positive care outcomes while reducing costs.

-Integrate medical management into planning and providing services for individuals enrolled in the pilot initiative.

-Leverage the strengths of current EmblemHealth and ACA provider programs, providing I/DD individuals with improved habilitation and medical outcomes.

Additionally, EmblemHealth and ACA will seek approval to operate a pilot managed care plan for individuals with I/DD. Under this arrangement, EmblemHealth would contract with ACA for care management services and with ACA's network of providers through its independent practice association for habilitation services and supports. EmblemHealth would provide all insurance-related functions, its case management expertise and its medical network.

More information:

www.emblemhealth.com

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