Improving outreach process for ECM and Community Supports

Improving outreach process for ECM and Community Supports

Though some Managed Medicaid plans (MCPs) pay for outreach efforts, most of their payments for ECM and CS services are contingent on successful enrollment. Improving outreach to connect with patients with complex medical and social needs requires a multifaceted approach, and community providers often find that it takes a lot of time to get the…

3 Cs of whole-person care management

3 Cs of whole-person care management

Whole-person care management takes into account each member's physical, mental, and social needs in order to achieve optimal health outcomes. This requires a team approach, where all stakeholders work together to achieve the common goal of improving the member's health and well-being. Communication, coordination, and collaboration (3Cs) are three critical components of whole-person care management,…

Cost-benefit analysis of MA supplemental benefits

Cost-benefit analysis of MA supplemental benefits

Most Medicare Advantage plans now offer a number of supplemental benefits (Dental, vision, OTC, fitness, transportation, etc.) to attract more enrollees and reduce the need for more costly medical services. Despite the explosion of supplemental benefits, the utilization of these benefits remains very low and there is not enough evidence to support the ROI. When…