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Geriatric Services Capacity Assessment (GSCA)
As the U.S. population grows older and more diverse, meeting the needs of mature adults—particularly those who are dually eligible for Medicare and Medicaid—has never been more important. Resources for Integrated Care (RIC) designed the Geriatric Services Capacity Assessment (GSCA)
[...]Published Date: September 17, 2024 -
Strategies and Promising Practices in Coordinating Dental Care for Dually Eligible Individuals
Click Here to View the Brief Resources for Integrated Care (RIC) prepared this brief as a supplemental resource to our webinar, Supporting Dental Health Care Coordination for Individuals Dually Eligible for Medicare and Medicaid. It offers guidance and promising innovative
[...]Published Date: August 14, 2024 -
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,
[...]Published Date: July 22, 2024 -
Using Motivational Interviewing to Support Individuals with Complex Health Needs: A Spotlight on MMM of Puerto Rico and Camden Coalition
Click Here to View the Spotlight Motivational interviewing (MI) is a person-centered approach that helps build trusting relationships with clinicians and facilitates greater engagement, activation, and partnership that supports individuals in defining and achieving their health care goals.1 Health plans
[...]Published Date: July 11, 2024 -
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
[...]Published Date: July 10, 2024 -
RIC Event: Supporting Dental Health Care Coordination for Individuals Dually Eligible for Medicare and Medicaid
https://youtu.be/FTxbnHWPHUs Description: Oral health care coordination for individuals dually eligible for Medicare and Medicaid is a complicated task for several reasons: Coverage complexity. Dually eligible individuals navigate coverage for dental health care through both the Medicare and Medicaid programs. Although
[...]Published Date: May 20, 2024 -
RIC Event: Improving Health Equity for Dually Eligible Enrollees in Rural Areas
https://youtu.be/PaiG2jcv2ho?si=1d-Z7YGZJhReMyUv Description: Health plans serving rural service areas confront significant health care delivery challenges, including lack of access to health care, provider workforce shortages, food deserts, poor transportation infrastructure, and inconsistent Internet. Health plans serving the more than two million
[...]Published Date: April 19, 2024 -
Health Equity Spotlight: Building an Internal Health Equity Infrastructure
Click Here to View the Spotlight The Centers for Medicare & Medicaid Services (CMS) Medicare-Medicaid Coordination Office is committed to health equity and addressing disparities in healthcare access and quality for individuals dually eligible for Medicare and Medicaid.1 Advancing health
[...]Published Date: April 19, 2024 -
Leveraging Health Plan and Community Partnerships to Address Social Determinants of Health
Health care organizations, including health plans, are increasingly focused on the impact that social determinants of health (SDOH) have on the lives of individuals dually eligible for Medicare and Medicaid. As defined by Healthy People 2030, SDOH “are the conditions
[...]Published Date: March 8, 2024 -
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
[...]Published Date: February 16, 2024