As states across the country advance new integrated programs for the approximately 11 million individuals who are dually eligible for Medicare and Medicaid, health plans are seeking strategies to better serve this high-need, high-cost population.
Through PRomoting Integrated Care for Dual Eligibles (PRIDE), made possible by The Commonwealth Fund, CHCS helped health plans to further the viability and increase the impact of integrated care models for dually eligible beneficiaries. Participating plans included:
- BlueCare (Tennessee);
- CareOregon (Oregon);
- CareSource (Ohio);
- Commonwealth Care Alliance (Massachusetts);
- Health Plan of San Mateo (California);
- Independent Care Health Plan (iCare) (Wisconsin);
- UCare (Minnesota);
- UPMC for Life Dual (Pennsylvania); and
- VNSNY CHOICE Health Plans (New York).
The goals of the project was to: (1) support PRIDE plans and their partners in the adoption and implementation of promising care delivery models; and (2) spread actionable information about these innovations to new health plans serving this population as well as the broader health care system. CHCS provided participating health plans with opportunities for collaborative learning and direct technical assistance. Lessons from PRIDE were shared nationally.