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Care Management Practices in Integrated Care Models for Dual Eligibles
08/01/2010 | Requests *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.
Author
Burwell, Brian; Saucier, Paul; Walker, Lina
Available Files
- Report PDF (898K, 37 pages)
- Report Off-site link (37 pages)
Keywords
Dual Eligibles; Medicaid; 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
Topic
Aging Issues, Long-Term Care
Type/Tool
Data, Reports
Source
AARP Public Policy Institute, Thomson Reuters (formerly Medstat)
State
Arizona, Massachusetts, All States/Territories
Date Created
10/12/2010
Contact
AARP Public Policy Institute
ppi@aarp.org
202-424-3890
ppi@aarp.org
202-424-3890
Short URL
Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.
* Reflects requests since January 1, 2007
Options
HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)