To locate, stratify and engage dual eligibles, Health Care Services Corporation (HCSC) takes a creative approach, employing everything from home visits to 'street case management' to coordinate care for Medicare-Medicaid beneficiaries.
Dual Eligibles Care and Service Planning: Integrative Approaches for the Medicare-Medicaid Population describes HCSC's innovative tactics to engage this largely older adult and disabled population in population health management with support from a range of community partners and services.
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In this 25-page report, Julie Faulhaber, vice president of enterprise Medicaid at Health Care Service Corporation, details HCSC's care coordination model for the dually eligible and some early program impacts, as well as lessons gleaned from 12 years of work with other plans serving duals.
From a kickoff health risk assessment (HRA) to risk-based care and service planning, Ms. Faulhaber describes how HCSC accomplishes the following:
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P.S. -- You may also be interested in these resources on dual eligibles: