Guide to Dual Eligibles Care Coordination

Guide to Dual Eligibles Care Coordination

With its State Demonstrations to Integrate Care for Dual Eligible Individuals, CMS has solidified its commitment to design new approaches to better coordinate care for dual eligible individuals the estimated 9 million Americans eligible for both Medicare and Medicaid.

There are many initiatives afoot with the goal of defragmenting care of the duals population, but as the Camden Group President Steven Valentine cautioned during HIN's Healthcare Trends & Forecasts 2014 planning session: "Dual eligibles are extremely difficult to manage; they are often non-compliant patients. Unless you manage care really well, being in a dual-eligible managed care system will probably cost you money."

Guide to Dual Eligibles Care CoordinationFor organizations wishing to adequately prepare for the challenge of dual eligibles care management, the Guide to Dual Eligibles Care Coordination provides the principles of a comprehensive care coordination effort for Medicare-Medicaid beneficiaries, taking into account the medical, behavioral, social and functional needs of this vulnerable population.

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This 100-page guide delivers the following:

This report provides sector-specific qualitative data in the following areas:

  • A comprehensive set of 2013 dual eligibles care coordination benchmarks from 72 healthcare organization;
  • An examination of SCAN Health Plan's unique care management model for duals, which focuses on prevention and early intervention;
  • A case study of WellCare Health Plan's community-based approach to duals care coordination — a healthy mix of public health and social support to connect the dually eligible to essential health services.

Answers to dozens of critical FAQs on care coordination for Medicare-Medicaid beneficiaries are provided.

Chapter 1: 2013 Healthcare Benchmarks in Dual Eligibles Care Coordination
Chapter 2: Population Health Management for Duals
Chapter 3: Community Care Connections for Dual Eligibles

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Available in Single or Multi-User Licenses

A multi-user license will provide you with the right to install and use this information on your company's computer network for an unlimited number of additional workstations within your organization for a one-time fee. To have this valuable resource on your network, or to inquire about ordering bulk copies in print or Adobe PDF, please e-mail or call 888-446-3530.

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