Advancing innovations in health care delivery for low-income AmericansStart: December 2013
End: December 2019
Funder: The Commonwealth Fund
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.
Related Resources
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ProfileFacilitating Community Transitions for Dually Eligible Beneficiaries December 2019
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ProfileCoordinating Physical and Behavioral Health Services for Dually Eligible Members with Serious Mental Illness December 2019
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Technical Assistance BriefProviding Value-Added Services for Medicare-Medicaid Enrollees: Considerations for Integrated Health Plans January 2017
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ProfileHousing Options for High-Need Dually Eligible Individuals: Health Plan of San Mateo Pilot March 2016
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BriefAssessing Success in Medicare-Medicaid Integration: A Review of Measurement Strategies December 2015
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Technical Assistance BriefBuilding a Culture of Engagement for Medicare-Medicaid Enrollees: Health Plan Approaches August 2015
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WebinarTargeting Interventions for the Highest-Need, Highest-Cost Medicare-Medicaid Enrollees: Health Plan Approaches July 2015
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WebinarHealth Plan Approaches to Locating New Medicare-Medicaid Enrollees and Building Trusting Relationships January 2015
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Technical Assistance BriefContacting Hard-to-Locate Medicare and Medicaid Members: Tips for Health Plans December 2014
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BriefKey Attributes of High-Performing Integrated Health Plans for Medicare-Medicaid Enrollees August 2014
- Improving Care for Dually Eligible Beneficiaries through Innovative Health Plan Partnerships
- Using Technology to Engage Medicare-Medicaid Enrollees: Opportunities for Health Plans
- Staying the Course on Medicare-Medicaid Integration
- Improving Services for Medicare-Medicaid Enrollees: What’s Top-of-Mind for Health Plans?
- Building Health Plan-Provider Relationships to Support Integrated Care for Dually Eligible Individuals
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