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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 -
Behavioral Health Integration Capacity Assessment
Resources for Integrated Care updated the Behavioral Health Integration Capacity Assessment (BHICA) Guide and interactive BHICA Tool, originally published in 2014, to help organizations that provide behavioral health services evaluate their capacity to offer integrated primary care services. The BHICA
[...]Published Date: February 29, 2024 -
Addressing Bone Health Across the Life Course for Dually Eligible Women with Disabilities
Click Here to View the Resource Guide Resources for Integrated Care (RIC) has developed a resource guide to help inform providers, care managers, care coordinators, and other clinical staff at health plans and provider organizations about improving bone health for
[...]Published Date: January 25, 2024 -
Disability-Competent Care Webinar Compendium
Click Here to View the DCC Webinar Compendium Disability-competent care (DCC) is a participant-centered model that focuses on providing care and supports for maximum function and addressing the barriers to integrated, accessible care for individuals with disability. DCC responds to
[...]Published Date: December 28, 2023 -
Leveraging Person-Centered Language to Deliver Person-Centered Care: Spotlight on Commonwealth Care Alliance
Click Here to View the Spotlight on Commonwealth Care Alliance Person-centered language is a strategy to improve communication between health plans, providers, and the individuals in their care. By emphasizing that people are experts in their own health and identity
[...]Published Date: October 20, 2023 -
Resource Highlights: Influenza Vaccination
Click Here to Access the Resource Highlights Older adults and adults of any age with chronic conditions, including many people dually eligible for Medicare and Medicaid, face increased risk of experiencing complications, including hospitalization or death, as a result of
[...]Published Date: October 2, 2023 -
Launching an Enrollee Advisory Committee
Click Here to View 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
[...]Published Date: July 28, 2023 -
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
[...]Published 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
[...]Published 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
[...]Published Date: July 17, 2023