Care Management Practices in Integrated Care Models for Dual Eligibles
Article Publication Date
Summary
State-authorized health plans whose members are qualified to receive both Medicare and Medicaid benefits face administrative challenges. This study examines care management practices in four health plans that serve persons who are dually eligible. The authors describe how health plans operationalize their integrated care management approaches and identify a common framework for integrating care.
Topics
Populations
Programs/Initiatives
Keywords
Massachusetts Senior Care Options Program; SCO; Commonwealth Care Alliance and Senior Whole Health; Arizona Long Term Care System; ALTCS; Mercy Care Plan; SCAN Long Term Care; Supportive Services; Primary Care; Clinician; Medical Management; Behavioral Health; Member Services; Information Systems; Home Visits; Team Approach; Decentralized Decision Making; Self-Directed Services; Primary/Preventive Care; Noncomprehensive Health Information Technology; Administrative Duplication
Contact
AARP
Public Policy Institute
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ppi@aarp.org
Phone
202-424-3890