Care Management Components for Dual Eligibles
Healthcare Performance Benchmarks
October 16, 2013Vol. III Issue 42

Care Management Components
for Dual Eligibles

Care Management Components for Dual Eligibles This Week's Challenge: According to nearly 81 percent of healthcare companies who responded to HIN's industry survey on care coordination of dual eligibles, patient education and case management are the top components of their care management program for dual eligibles. We wanted to see which other elements comprise such programs.

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What We Learned: HIN's survey on the care coordination of dual eligibles captured how 72 healthcare organizations manage the care of Medicare-Medicaid beneficiaries, including how duals are stratified into care coordination, the key characteristics of the duals population served, the greatest administrative challenge of coordinating care for duals, and much more. According to survey respondents, besides patient education and case management, the top care management needs of dual eligibles are:

  • Patient education: 80.6 percent

  • Case management: 80.6 percent

  • Disease management: 77.4 percent

  • Medication management: 74.2 percent

  • Health coaching: 71 percent

  • Transitional care: 67.7 percent

  • Community-based support: 67.7 percent

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HINfographic: Defining the Dually Eligible — 16 Things to Know for Population Health Management.

Read related blog post: 5 Tips for Seniors to Avoid Hospital Readmissions.

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2013 Healthcare Benchmarks: Dual Eligibles Care Coordination

Excerpted from 2013 Healthcare Benchmarks: Dual Eligibles Care Coordination, which 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 Performance Benchmarks by Healthcare Intelligence Network.
Editor: Jessica Fornarotto,;
Publisher: Melanie Matthews,

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