HCBS. Home and Community Based Services

On February 28, 2021, a 40-year-old individual with a physical disability from Adams County was referred to IRIS (Include, Respect, I Self-Direct), Wisconsin’s self-directed long-term care program. This individual was the last person waiting to join one of Wisconsin’s long-term care programs that provide home and community-based services to eligible adults who are elderly or have physical or intellectual disabilities.

The historical progression of bundled payments from acute care to post-acute care and the growing recognition of the value of HCBS create an interesting opportunity for sustainably integrating medical services with other (LTSS). Building on past lessons from efforts to incorporate community-based LTSS into traditional medical care models, such as care transitions, may help to inform successful future strategies to enable bundles to more efficiently achieve the Triple Aim.