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Enrollee Advisory Committees: Navigating the Feedback Process
Click Here to Access the Tip Sheet The 2023 Medicare Advantage (MA) and Part D final rule requires Dual Eligible Special Needs Plans (D-SNPs) to establish and maintain at least one enrollee advisory committee (EAC) for each state in which
[...]Time to read: 1 Minutes.Date: July 28, 2023 -
Resources to Help Health Plans Meet Communication Accessibility Requirements and Population Needs
Click Here to Access the Resource Guide Individuals who are dually eligible for Medicare and Medicaid are more likely to need communication accommodations relative to the Medicare-only population, as over 50 percent of dually eligible individuals qualify for Medicare benefits
[...]Time to read: 2 Minutes.Date: July 19, 2023 -
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
[...]Time to read: 5 Minutes.Date: July 17, 2023 -
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
[...]Time to read: 2 Minutes.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
[...]Time to read: 6 Minutes.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
[...]Time to read: 6 Minutes.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
[...]Time to read: 2 Minutes.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
[...]Time to read: 2 Minutes.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
[...]Time to read: 7 Minutes.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
[...]Time to read: 4 Minutes.Date: January 3, 2023