Funder: California HealthCare Foundation and The SCAN Foundation

Author: Brianna Ensslin and Sarah Barth, Center for Health Care Strategies

February 2015 |


Effective care coordination and care management are essential to delivering person-centered, quality care in programs that integrate services for individuals dually eligible for Medicare and Medicaid. The health plan staff responsible for providing these services must have unique qualifications and training to meet members’ social service and medical needs.

This brief, made possible through support from the California HealthCare Foundation and The SCAN Foundation, shares strategies for hiring and training care managers for health plans with integrated care programs serving Medicare-Medicaid beneficiaries. It offers lessons from five health plans with integrated care products to inform other health plans and states.