Care Transitions

Helping Plans Collect Enrollee Data on Social Determinants of Health and Health-Related Social Needs

Click Here to View the Tip Sheet This tip sheet both identifies the broad range of social determinants of health (SDOH) and health-related social needs (HRSN) data collection toolkits and offers additional guidance around using these resources most effectively. Specifically,

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Care Coordination and Supporting Member Self-Management – Highlighting Inland Empire Health Plan

Background Self-management refers to “the tasks that individuals must undertake to live well with one or more chronic conditions.”1 It includes a wide range of behaviors individuals might focus on to maintain their health—such as monitoring symptoms, adhering to medication

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RIC Event: Enrollee Advisory Committees Through a Health Equity Lens

https://youtu.be/XouV1MB7AEE?si=Ga7w9jYdr7nkYEPq Description: Dual Eligible Special Needs Plan (D-SNP) Enrollee Advisory Committees (EACs) are tasked with working to improve access to covered services, coordination of services, and health equity for underserved populations under the 2023 Medicare Advantage and Part D Final

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RIC Event: Promising Practices for Promoting Person-Centered Communication and Care Coordination

https://youtu.be/OTHjlrCdgR0 Description: This webinar highlights key takeaways from discussions among health plans that participated in the Integrated Care Community of Practice focused on care coordination of dually eligible individuals. Health plans share their promising practices for promoting person-centered care coordination,

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