The existing Family Care Program has proven difficult for participating actuary to forecast expense in an acceptable fashion. When the organization of care management and delivery arrives at a mis-match , analysis's starts asking whether it might be inefficient - meaning that a different organization to care management and delivery might make everyone involved better off. A mis- match is identified when the expense to operate the program does not align with Family Care fiscal projections.
The result being legislation essentially eliminating the existing organization of care management and delivery and implementing a completely different organization to care management and delivery. This begins with the expansion of the Insurance Industries regulatory presence.
Care Management Organizations (CMO) are scheduled to be eliminated and Integrated Health Agencies (IHA) will take over the care management and delivery. Varied public programming will be folded into a single model of delivery ( The New Family Care) serving one huge population.
This contributes to the existing challenge confronting long term care coordinators in Wisconsin today. Change is occurring today.
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