Long-Term Services and Supports (LTSS)
AmeriHealth Caritas offers comprehensive long-term services and supports (LTSS) programs to help ensure that your most vulnerable citizens receive the right care, at the right time, and in the right setting.
Regardless of your state’s particular needs, we have the resources and experience to provide you with effective, compassionate patient-centered LTSS.
What is LTSS?
LTSS refers to the assistance many people need with common activities in their everyday lives. These activities can include basic functions such as bathing, eating, or dressing, or more involved tasks like cleaning, cooking, and taking medications.
LTSS recipients include not only the elderly, but also non-elderly people with physical disabilities, intellectual and developmental disabilities, mental illness, traumatic brain injury, and other complex issues. LTSS can be temporary, lasting several weeks or months, or, for more chronic conditions, years.
How is LTSS funded?
While LTSS programs are partially paid for with private funds, public insurance benefit plans like Medicaid pick up the majority of the payments. According to the Henry J. Kaiser Family Foundation, total national spending on LTSS was $310 billion in 2013. Medicaid paid 51 percent, or $128 billion — about 28 percent of their total expenditures under the Medicaid program for the year.1
The majority of Medicaid funding already goes to these sorts of at-risk populations, and with LTSS populations expected to grow in the coming decades2, the need for efficient, effective LTSS is more critical than ever.
Why managed care?
Like other Medicaid offerings, states can choose to offer LTSS services through managed care organizations (MCOs). A managed care LTSS program — known as MLTSS — can offer many advantages to you and your communities, including:
- Improved care coordination.
- Clear points of accountability.
- Increased flexibility and innovation.
- More opportunities to improve community health.
For information about new MLTSS business opportunities and strategic partnerships, contact us today.
- Reaves, Erica L. and Musumeci, MaryBeth. “Medicaid and Long-Term Services and Supports: A Primer.” Henry J. Kaiser Family Foundation. December 15, 2015. https://www.kff.org/medicaid/report/medicaid-and-long-term-services-and-supports-a-primer/
- S. Galea, M. Tracy, K.J. Hoggatt, C. Dimaggio, A. Karpati, "Estimated deaths attributable to social factors in the United States," American Journal of Public Health 101 (2011): 1456 – 65