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RIC Event: Promising Practices for Utilizing Motivational Interviewing (MI) to Improve Care Coordination and Address Social Determinants of Health (SDOH)
https://www.youtube.com/watch?v=NtITkSg5zsU&t=2s Description: This webinar explores how motivational interviewing (MI) can improve communication in integrated care settings and improve relationships between health plans, providers, and members dually eligible for Medicare and Medicaid; promote the increased utilization of MI and person-centered techniques
[...]Published Date: July 13, 2023 -
Community Care Plans – Spotlight on My Choice Wisconsin
My Choice Wisconsin (MCW) is a non-profit managed care organization with demonstrated success working collaboratively with local agencies and healthcare providers. The health plan provides two plans for people dually eligible for Medicare and Medicaid: a Fully Integrated Dual Eligible
[...]Published Date: April 24, 2023 -
Spotlight on the SCAN Health Plan Personal Assistance Line
Senior Care Action Network (SCAN) is a mission-driven, non-profit health plan that aims to keep older adults healthy and independent. SCAN serves more than 280,000 members across Arizona, California, Nevada, and Texas.1 SCAN is the only Fully Integrated Dual Eligible
[...]Published Date: March 24, 2023 -
People with Intellectual/Developmental Disabilities (I/DD): Telehealth Overview
Click Here to View the Brief Approximately eight percent of individuals dually eligible for Medicare and Medicaid under the age of 65 have an intellectual disability or related condition.1 People with intellectual and developmental disabilities (I/DD) face disproportionate barriers when
[...]Published Date: February 21, 2023 -
RIC Event: Recruiting and Sustaining Successful Enrollee Advisory Committees (EACs)
Video Recording: https://youtu.be/lNgGob14nHw Description: The 2023 Medicare Advantage (MA) and Part D Final Rule requires Dual Eligible Special Needs Plans (D-SNP) to establish and maintain at least one enrollee advisory committee (EAC) for each state in which the D-SNP is
[...]Published Date: February 17, 2023 -
Easing Healthcare Staffing Shortages Through Enhanced Care Coordination Efforts
The healthcare workforce has experienced unprecedented attrition in the wake of the COVID-19 public health emergency (PHE), and the shortage of essential workers is expected to continue to rise over the next decade. From 2020-2021, the total supply of Registered
[...]Published Date: January 25, 2023 -
Cross-Departmental Collaboration to Enhance Care Coordination
Care coordination is a central feature of programs aimed at integrating care for people who are dually eligible for Medicare and Medicaid, yet it can be challenging for health plans and providers to successfully provide care coordination. Individuals dually eligible
[...]Published Date: January 3, 2023 -
Bivalent Vaccine for Omicron Subvariants
COVID-19 has disproportionately affected dually eligible individuals. Medicare data from the Centers for Disease Control and Prevention (CDC) indicated that from January 1, 2020, to November 20, 2021, individuals dually eligible for Medicare and Medicaid health plans had higher rates
[...]Published Date: December 19, 2022 -
Measuring Quality in Home and Community-Based Services (HCBS): Key Considerations for Health Plans
Click Here to View the Brief Quality measurement in home and community-based services (HCBS) supports states, health plans, and providers in ensuring members are receiving HCBS that reflect their preferences, assuring health and welfare, improving health outcomes, and promoting effectiveness
[...]Published Date: December 2, 2022 -
Introduction to Home and Community-Based Services (HCBS): Key Considerations for Health Plans
Click Here to View the Brief Home and community-based services (HCBS) encompass a broad range of services and supports designed to help older adults and people with disabilities live in their homes, rather than in institutional settings such as nursing
[...]Published Date: December 2, 2022