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New Chart: Top 5 Care Coordinators for Dually Eligible

SUMMARY: Care coordination of the 9 million Americans eligible for both Medicare and Medicaid is a growing priority for the nationís payors who wish to address this groupís unique medical, social and functional needs in a coordinated and cost-efficient manner. We wanted to see which healthcare professionals are responsible for the care coordination of dual eligibles.

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HIN's industry survey on care coordination of dual eligibles captured how 72 healthcare organizations coordinate the care of dual eligibles, including how duals are stratified into a care coordination program, the key characteristics of the duals population served, the greatest administrative challenge of coordinating care for duals, and much more. According to survey respondents, the top five professionals responsible for dual eligible care coordination are:

  • Case manager: 37.5 percent

  • PCP: 25 percent

  • Other: 12.5 percent

  • Social worker: 12.5 percent

  • Pharmacist: 6.3 percent

For additional research data and insights on this topic:

Download the executive summary of 2013 Healthcare Benchmarks: Dual Eligibles Care Coordination.

Source: 2013 Healthcare Benchmarks — Dual Eligibles Care Coordination, October 2013

2013 Healthcare Benchmarks: Dual Eligibles Care Coordination

2013 Healthcare Benchmarks: Dual Eligibles Care Coordination examines emerging trends in duals care management, from the prevalence of existing programs to gains achieved in key quality metrics like patient satisfaction.

2013 Healthcare Benchmarks: Dual Eligibles Care Coordination is available from the Healthcare Intelligence Network for $117 by visiting our Online Bookstore or by calling toll-free (888) 446-3530.

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