Innovative Care Models for Dual Eligibles

There are different models of care for managing dual eligibles and it is vital to evaluate strengths and weaknesses when deciding which model to use. At the D.U.A.L.S. forum on April 4 – 5 in Baltimore, you’ll hear about the following speakers present on different care models:

• Austin Ifedirah, Vice President of Medicare at GATEWAY HEALTHPLAN will share his insight into caring for the dual eligible population through Special Needs Plans (SNPs).

• Anthony Evans, Vice President of Integrated Health at CARESOURCE, will discuss the strengths and weaknesses of using a managed care model and share some of the financial considerations you must take into account.

• Rachel Richards, Vice President of Government Relations at SENIORLINK, Katherine Anderson, National Vice President of Strategy and Development for Medicare-Medicaid Enrollees at UNITEDHEALTH COMMUNITY & STATE, and Greg Nersessian, Principal at HEALTH MANAGEMENT ASSOCIATES discuss new managed care models to manage non-medical risk since MCOs serving duals will need new capabilities to meet these members' medical and non-medical needs.

 • Meryl Friedman Price, President at HEALTH POLICY MATTERS will discuss which models of care are best for dual eligibles with serious mental illnesses.

To find out more about the 2013 program, download the agenda.

As a member of the D.U.A.L.S. forum blog, you get a 15% discount off the standard rate when using code XP1804LINK to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you in Baltimore this spring!

Best,
The D.U.A.L.S. Forum Team

The D.U.A.L.S. Homepage
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Better coordination could help save billions, Unitedhealth Center reports

Unitedhealth Center's recent report states that around $190 billion dollars could be saved by 2022, if the coordination of care for Medicaid and Medicare individuals improves. The majority of the states dual eligibles are spent on long-term care services, so by decreasing this number, the state will save immensely. The Centers for Medicare & Medicaid Services will implement a type of managed care plan that will blend payments of both Medicaid and Medicare.

UCH estimates the current CMS model will cover roughly one-fifth of all dual eligible beneficiaries. The report proposes states can more aggressively institute managed care models to better manage Medicaid funds for dual eligibles.

What are the best ways to improve the managed care model?

What are the overall strengths and weaknesses of the managed care model, including the opportunity to reduce readmission rates? At this year's D.U.A.L.'s Forum, Anthony Evans, RN, CP VP of Integrated Health, CareSource, leads our session: Managed Care Model for Dual Eligibles. To learn more, download our brochure.

We hope to see you April 4-5 in Baltimore, MD! As a reader of the D.U.A.L.S. blog, you get a 15% discount off the standard rate when using code XP1804LINK to register.

The D.U.A.L.S. Forum brochure has arrived!

On behalf of IIR, I am proud to invite you to download the brochure for the inaugural D.U.A.L.S. Forum, taking place from April 4 – 5 in Baltimore.

As your partner in dissecting and understanding healthcare and all that it encompasses, we are pleased to provide you with a forum to learn industry insights from health plans making waves in the dual eligibles space.

Download our 2013 brochure.

As a reader of the D.U.A.L.S. blog, you get a 15% discount off the standard rate when using code XP1804LINK to register. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you in Baltimore this spring!

Best,

The D.U.A.L.S. Forum Team

The D.U.A.L.S. Homepage
The D.U.A.L.S. Twitter
The D.U.A.L.S. Blog