Tag Archives: dual eligibles

Overcoming 3 Roadblocks to Duals Care Coordination

Assuring adequate revenue for a duals care coordination program is critical to its success, says Julie Faulhaber, Health Care Services Corporation’s (HCSC) vice president of enterprise. Being sure that care planning and risk assessment components adequately and appropriately document the … finish reading Overcoming 3 Roadblocks to Duals Care Coordination

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6 Drivers of Successful Dual Eligibles Care Management

Successful care management of dual eligibles, a population that constitutes about 9 million individuals in the United States, presents specific, multiple challenges, explains Timothy C. Schwab, MD, FACP, is chief medical officer of SCAN Health Plan. One key to success … finish reading 6 Drivers of Successful Dual Eligibles Care Management

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Strategies for Finding, Engaging Dual Eligibles

To locate, stratify and engage dual eligibles, Health Care Services Corporation (HCSC) starts with state-supplied information to reach this largely older adult and disabled population, explains Julie Faulhaber, HCSC’s vice president of enterprise Medicaid. If that information is inaccurate, HCSC … finish reading Strategies for Finding, Engaging Dual Eligibles

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Improving the Health of Dual Eligibles with HRAs

A local approach—the integration of public health with managed car—is what a lot of states and CMS are starting to look for in care coordination of Medicare-Medicaid beneficiaries, explains Pamme Taylor, vice president of advocacy and community-based programs for WellCare … finish reading Improving the Health of Dual Eligibles with HRAs

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Proposed Bill Would Ease Readmissions Penalities for Hospitals That Treat Many Dual Eligibles

A proposed bill in the House of Representatives could ease readmissions penalties on hospitals that treat a high percentage of dual eligible patients if it becomes law, according to the office of Rep. Jim Renacci. The bill, “Establishing Beneficiary Equity … finish reading Proposed Bill Would Ease Readmissions Penalities for Hospitals That Treat Many Dual Eligibles

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4-Step Data-Driven Care Model Targets Dual Eligibles

The philosophy that healthcare is local—and therefore, care needs to be local and community-based—drives WellCare Health Plans’s efforts to connect its dually eligible population to health services. Here Pamme Lyons Taylor, WellCare’s vice president of advocacy and community-based programs, explains … finish reading 4-Step Data-Driven Care Model Targets Dual Eligibles

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6 Keys to a Successful Care Management Program for Dual Eligibles

Developing a communication hub is critical to a successful care coordination plan for dual eligibles, says Timothy C. Schwab, MD, FACP, former chief medical officer of SCAN Health Plan. It ensures that all members of the immediate and long-term support … finish reading 6 Keys to a Successful Care Management Program for Dual Eligibles

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How WellCare Closed 4 Socially Based Care Gaps

Imagine, if you will, a family of six living in a 1,100-square foot home in rural United States. Mom and Dad work two part-time jobs, their daughter is 19 and pregnant for the second time; her 10-year-old twin brothers have … finish reading How WellCare Closed 4 Socially Based Care Gaps

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4 Reasons Why Home Visits Are Effective

Engaging patients’ families and other support systems in the home are one benefit of home visits, explains Jessica Simo, program manager with Durham Community Health Network for the Duke Division of Community Health, enabling healthcare providers to see the patient … finish reading 4 Reasons Why Home Visits Are Effective

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

Nine million individuals in the United States are eligible for both Medicare and Medicaid, as a new HINfographic from the Healthcare Intelligence Network (HIN) illustrates. This HINfographic illustrates a wealth of metrics on the dual eligibles population categorized by several … finish reading Defining the Dually Eligible: 16 Things to Know for Population Health Management

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