Managing community supports & enhanced care management benefits

Managing Community Supports (CS) and Enhanced Care Management (ECM) benefits

Letitia is a 40-year-old female with Type-2 diabetes and Asthma living in suburbs with her two small children. She is eligible for Medicaid due to her low income and is currently enrolled in a managed care plan. A few months ago, she injured her back and has trouble driving to work and working full-time. She…

Enhanced care management for supplemental benefits

Enhanced care management for supplemental benefits

With supplemental benefits, many Medicare Advantage (MA) plans are attempting to address both the medical and social risks. The supplemental benefits include health-related services such as vision, dental, and hearing as well as services to address SDoH such as transportation, meal delivery, structural home modifications, pest control, etc. Most supplemental benefits are offered to members…

Integrating health and social services for enhanced care management

Integrating health and social services for enhanced care management

To effectively manage patients with complex conditions, thoughtful integration of physical, and mental health services with social care is critical. Social determinants of health such as housing, transportation, and food insecurity are directly correlated to health outcomes. However, social services have been operating in a silo and disconnected from the broader health system. These navigation…