While Medicare Advantage (MA) plans have new flexibility to target and cover supplemental benefits that address health-related social needs, few plans provided these types of benefits in 2019....
This resource analyzes preventable ED visits and identifies mechanisms for preventing them. To identify opportunities to prevent ED visits, Premier, a health care improvement company, analyzed nearly...
This resource describes four care management models that ACOs are using for individuals with complex needs. Care management programs can involve creating patient care plans, coordinating care across...
This resource describes the findings from a symposium called “The Dual Imperative: What’s Next for Medicare-Medicaid Enrollees,” which brought together policymakers, consumers, advocates, researchers,...
This resource describes the strategies employed by ACOs that have comprehensive care management programs for complex patients. This report is from the six-foundation collaborative and is based on...
This report recommends policy changes so that Medicare can pay for non-medical supports and services, such as meal delivery, transportation, and case management, to improve outcomes and lower costs...
This resource analyzes a number of specific care models that serve Medicare-only individuals and enumerates five main policy barriers and potential strategies to address these barriers. The specific...
This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients. It suggests policy options for a new federal administration to...
This resource examines reimbursement structures that serve beneficiaries who are dually eligible for Medicare and Medicaid. It also includes an analysis comparing care patterns for dual-eligible...
This resource reviews emerging payer and provider partnerships that incentivize value-based payment models. Key points and recommendations include: The highest-need, highest-cost population is ever...
This resource offers recommendations for federal policymakers to help finance LTSS, the clinical and social services that assist individuals with limited ability to care for themselves. In 2013,...
There is currently no single statement of what a delivery system must have to effectively serve adults with complex care needs. The SCAN Foundation convened a working group of diverse experts...
