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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
[...]Published Date: July 10, 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 -
Engaging Hard-to-Reach Members – Vulnerable Populations
Effective member engagement can enhance a health plan’s ability to meet member needs and improve health outcomes. Active and consistent engagement is even more critical for members in vulnerable circumstances. Health plans may face challenges engaging members who experience housing
[...]Published Date: July 17, 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 -
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