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News & Press: Family Care

Inclusa Rate Change Survey Results - Nov 2017

Wednesday, December 6, 2017   (0 Comments)
Posted by: Sarah Bass
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In November 2017, Inclusa, a managed care organization serving Family Care clients in 51 Wisconsin counties, notified providers of a change in the daily rates that would take effect January 1, 2018.  Provider members of LeadingAge Wisconsin, Wisconsin Assisted Living Association (WALA), and the Wisconsin Health Care Association/Wisconsin Center for Assisted Living (WHCA/WiCAL) operating in the 51 counties were surveyed to determine the impact of the Inclusa rate changes.

 

 

·      254 providers received letters advising them of changes to the daily care and service (C&S) and/or room and board (R&B) rates for residents who were enrolled in Family Care through Inclusa.

 

·      Decrease in the daily C&S/R&B rate:

 

969 residents totaling $5,078,390 (all providers).  Average percent decrease: 10.55%.  Average annual decrease per resident: $5,240.

 

·      Increase in the daily C&S/R&B rate:

 

282 residents totaling $176,538 (all providers).  Average percent increase: 8.75%.  Average annual increase per resident: $626.

 

·      No change in the daily C&S/R&B rate:

 

533 residents (all providers)

 

 

Residents

%

Fiscal Impact

Decrease

969

54%

$ 5,078,390

Increase

282

16%

$ 176,538

No Change

533

30%

 

Total

1,784

100%

$ 4,901,852

 

 

 

 

Rate Change Impact by Geographic Service Area (GSR)

(Two of Three Associations)

GSR

Total Change

% of Total

1

($346,871)

11%

2

($1,405,349)

45%

3

($477,621)

15%

4

($128,376)

4%

5

($144,014)

5%

7

($77,549)

3%

14 + Providers spanning several GSRs

($562,546)

17%

TOTAL

($3,142,326)

 

GSR Counties:

 

1:  St. Croix, Pierce, Dunn, Chippewa, Taylor, Eau Claire

2:  Clark, Pepin, Buffalo, Trempealeau, Jackson, Monroe, La Crosse, Vernon

3:  Juneau, Sauk, Richland, Crawford, Grant, Iowa, LaFayette, Green

4:  Vilas, Forest, Florence, Oneida, Lincoln, Langlade, Marathon, Wood, Portage

5:  Waushara, Marquette, Green Lake, Columbia, Dodge, Jefferson, Washington,

     Waukesha

7:  Douglas, Bayfield, Ashland, Iron, Price, Sawyer, Washburn, Burnett, Polk, Barron,

     Rusk

14: Rock

 

 

December 4, 2017

 

Download the Report Here...


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