Managed Long Term Services and Supports

Driving Operations and Innovation in Alignment with Unique MLTSS Distinctions

At ProspHire, we are trusted partners in planning and launching Managed Long-Term Services and Supports programs for payers. Our team assesses organizational readiness and leverages emerging best practices to enable plan success with a focus on improving access, quality and cost-effectiveness of long-term care.

Our implementation focuses on promoting person-centered solutions and health equity. With our experience and industry knowledge, we partner with health plans to expand their continuum, support independence at home and reduce hospitalizations for vulnerable members requiring extended services.

Key Contacts

Julie Evans

Managing Director
Email | Full Bio

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How ProspHire Can Help

See how ProspHire can help address the key issues facing your organization.

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    Readiness Assessment & Gap Analysis

    Evaluate implementation drivers to ensure successful program start-up.

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    Quality Management

    Initiation, execution and management of initiatives focused on value-based care, provider adequacy, vendor performance and member outcomes.

  • Rebalancing of Services

    Enhance opportunities for community-based living for participants and enable tailored person-centered services plans.

  • Provider Networking

    Assessment of network adequacy followed by new partnerships and value-based contracting to establish or enhance unique provider network.

  • Business Integration

    Support organizational readiness and post-implementation risk management across shared services and technology.

  • MLTSS Program Innovations

    Develop and implement programs to address social determinants of health and other health related social needs of the MLTSS population.

  • Process Improvement & Program Efficiencies

    Analysis of LTSS and plan operations to increase efficiencies and effectiveness of person-centered service planning and whole person coordinated care.

Client Results

Achieving Required Documents Compliance and Ensuring Ongoing Accuracy

  • Identifying Health Trends via Analytics

  • Achieve NCQA Multicultural Healthcare Distinction

  • Maximizing Revenue with Medicaid Contract Optimization