Podcasts about dual eligibles

In the Medicare Advantage Minute segment, we learn that 23 health systems (as of the publishing date) are refusing to accept MA plans for reimbursement in 2025. The Wikipedia page about Medicare discusses the possibility and ramifications of reforming care for "Dual Eligibles", those who are eligible for both Medicare and Medicaid. Finally, choosing the best prescription drug plan for an individual on Medicare involves following some rules and adhering to some important principles. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)   Inspired by: "MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Send us a Text Message.As the U.S. population continues to age, Medicare is rapidly consuming a larger portion of the federal budget.In 2023, Medicare expenditures reached a staggering $1 trillion, accounting for approximately 3.1% of the U.S. GDP.Looking ahead, Statista projects that Medicare outlays will soar to $2.1 trillion by 2034, representing around 4.2% of the anticipated U.S. GDP.Such a trajectory of unsustainable spending necessitates innovative and effective solutions.Tune in to this week's episode of CareTalk, where host David Williams is joined by Matrix Medical Network's CEO Catherine Tabaka and Chief Medical Officer Dr. Michael Cantor, as they reveal why whole-person care is the critical solution for improving health equity.TOPICS:0:55 How much is the U.S spending on Medicare?3:18 How did Medicare start?5:18 What are Dual Eligibles?9:37 What are the challenges of Dual Eligibles?13:33 What is whole person care?19:03 What are the motivations for Health Equity Initiatives?26:58 Are disparities in care increasing?29:29 Should the government-sponsored medical insurance work as social welfare?33:17 Understanding in-home and whole-person careDownload Matrix Medical Network's White Paper: "Improving Health Equity Through Whole-Person Care"

To mark Insider's one-year anniversary, enjoy $40 off Insider or Unlimited for new members! Use discount code InsiderAtOne.Sign up Today.Health Affairs Editor-in-Chief Alan Weil interviews José Figueroa from the Harvard T.H. Chan School of Public Health to discuss his recently-published paper examining enrollment trends and characteristics of dually eligible enrollees in integrated care programs. He and co-authors find significant growth in the share of people with dual eligibility enrolled in integrated programs, even though overall rates remain low and there are differences across demographic characteristics.Order the May 2023 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts To mark Insider's one-year anniversary, enjoy $40 off Insider or Unlimited for new members! Use discount code InsiderAtOne.Sign up Today.

Senators Seek Solutions for Dual-Eligibles, House Democrats to Vote on Leadership, Caucus Rules This Week, Medicare Prior Authorization Transparency Bill Introduced in Senate, Incoming House Global Health Panel Chair Outlines Agenda, HHS Plan to Fund New COVID Vaccine Initiative with Provider Relief Fund Met with Opposition by House GOP Health Leaders, Senate Republicans Call for Halt of Gain of Function Research, ARPA-H Launches Website, Social Media Accounts, WHO to Rename Monkeypox ‘MPOX', Republican States Push for Repeal of Health Worker Vaccine Mandate

Listen to Marianne Amoss and Rob Lott talk about Health Affairs' Forefront series on Medicare and Medicaid Integration and some of their favorite articles about the dual eligible population.The series is produced with the support of Arnold Ventures. Included articles are reviewed and edited by Health Affairs Forefront staff; the opinions expressed are those of the authors. The series will run through October 31, 2022; submissions are accepted on a rolling basis.Related Links: Medicare and Medicaid Integration Landing Page To Advance Health Equity For Dual-Eligibles Beneficiaries, We Need Culturally Appropriate Services (Health Affairs Forefront) Congress Considers Strategies To Improve Medicare and Medicaid Integration For Dual-Eligible Individuals (Health Affairs Forefront) Integrating Care In Dual Eligible Special Needs Plans: A Bigger Toolbox For States (Health Affairs Forefront) Podcast: Eric Roberts on Dual Eligibles Coverage (A Health Podyssey) Currently, more than 70 percent of our content is freely available — and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.Subscribe: RSS | Apple Podcasts | Spotify | Castro | Stitcher | Deezer | Overcast

Alan Weil interviews Eric Roberts from the University of Pittsburgh School of Public Health to discuss his and colleagues recent research comparing the experiences of dual eligibles enrolled in D-SNPs with those enrolled in Medicare Advantage and traditional Medicare.Read the full transcript.Order the September 2022 issue of Health Affairs for research on nurses, care delivery, pharmaceuticals, and more.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

California Department of Health Care Services' Anastasia Dodson helps give an overview of the "dual eligible" population in California and how upcoming changes will impact the delivery of care for Californians who have both Medicare and Medi-Cal (Mediciad in California), now called Medicare Medi-Cal Plans (MMPs or Medi-Medi plans), for Exclusively Aligned Enrollment Dual Eligible Special Needs Plans (EAE D-SNPs).

In this episode, we are joined by Caroline Pearson, Senior Vice President at NORC, to discuss how dual eligible beneficiaries enrolled in Medicare Advantage were less likely to experience disruptions in their healthcare during the COVID-19 pandemic Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Read More

This podcast will cover these unique individuals – dual eligibles – who enroll in both Medicare and Medicaid and how their financial obligations in Medicare are paid for in whole or in part by the Medicaid program. These members face socio-economic barriers to healthcare. We will also look at some innovative programs that are better coordinating the financing and care of these individuals.

These podcasts, excerpted from an August 2019 webinar, discuss the importance of care coordinators, person-centered care planning, and assisting members with management tasks required for self-direction for plans seeking to support consumers in directing their own care.

These podcasts, excerpted from an August 2019 webinar, discuss the importance of care coordinators, person-centered care planning, and assisting members with management tasks required for self-direction for plans seeking to support consumers in directing their own care.

These podcasts, excerpted from an August 2019 webinar, discuss the importance of care coordinators, person-centered care planning, and assisting members with management tasks required for self-direction for plans seeking to support consumers in directing their own care.

This was based on an Avalere study. here is the link https://go.avalere.com/acton/attachment/12909/f-69e32532-ce17-42c8-87bc-8b95e12e258a/1/-/-/-/-/BMA_Duals_ISPOR_2019.pdf

*This episode contains out-of-date information. Learn more about the expanding opportunities with this audience and the special plans that may help meet their needs.

The Centers for Medicare and Medicaid Services recently introduced a new ACO model that will allow CMS and interested states to work together to care for patients enrolled in both Medicare and Medicaid. In this iBrief podcast, Jeffrey Farber, MD, MBA, FACP, CPE, CEO of Mount Sinai Care and senior vice president and chief medical officer for population health at Mount Sinai Health System, discusses how the new model might affect patients’ access to medication and devices.

DST Health Solutions has a broad experience in providing enrollment, administrative and care management services for dual eligibles in compliance with CMS and state requirements. Learn what areas health plans need to focus on to effectively serve dual eligibles. 

Relationships with community organizations that support mental health as well as recovery from addiction are essential to care coordination of Medicare-Medicaid beneficiaries, notes Julie Faulhaber, vice president of enterprise Medicaid at Health Care Service Corporation (HCSC). These collaborations enable HCSC to address the needs of duals as "a whole sick person, and not just as a diagnosis," she explains, noting that duals often suffer from depression along with some physical disability. HCSC also has its own integrated team with behavioral health expertise. Julie Faulhaber will share her organization's approach to designing a care coordination model for dual eligibles and initial findings from these new programs during a March 12, 2014 webinar "Moving Beyond the Medical Care Coordination Model for Dual Eligibles," a 45-minute program sponsored by The Healthcare Intelligence Network.

The philosophy that healthcare is local --- and therefore, care needs to be local and community-based --- forms the core of WellCare's efforts to connect its dually eligible population to health services, explains Pamme Taylor, WellCare's vice president of advocacy and community-based programs. The Tampa-based healthcare company takes a culturally competent approach to assessing duals' unique personal circumstances, ensuring their "soft landing" into WellCare's care coordination system. Care managers at the heart of WellCare's multidisciplinary team, conducting a comprehensive needs assessment with each Medicare-Medicaid beneficiary and driving the resulting care plan, ensuring duals' complex care needs are met at the most appropriate time and level. Ms. Taylor shared Wellcare's strategies for meeting members' needs with community-based partnerships and engaging duals in self-management of their care during an October 2, 2013 webinar, "Dual Eligibles: Closing Care Gaps and Engaging Members in Self-Management."

Joining us for today's show is Leonard J. Kirschner M.D. M.P.H., Member, The National Advisory Board on Improving Healthcare Services for Seniors and People with Disabilities Now that the election is over and most states have declared their position on expansion, what happens now?  Where are we winning in Medicaid and where are we losing? What are the 3 things Medicaid must get right? How do we capitalize on the momentum? Where does the private sector land in all of this? We'll try to answer these questions and more!

Joining us for today's show is Leonard J. Kirschner M.D. M.P.H., Member, The National Advisory Board on Improving Healthcare Services for Seniors and People with Disabilities Now that the election is over and most states have declared their position on expansion, what happens now?  Where are we winning in Medicaid and where are we losing? What are the 3 things Medicaid must get right? How do we capitalize on the momentum? Where does the private sector land in all of this? We'll try to answer these questions and more!

SCAN Health Plan's Interdisciplinary Care Team for dual eligibles is a diverse multiprofessional group encompassing many geriatric specialists, explains Dr. Timothy Schwab, chief medical officer of SCAN Health Plan. Dr. Schwab describes some of the challenges of risk stratification in a dual eligible population, and details case management support for the percentage of dual eligibles that require support for disabilities. Dr. Schwab shared his organization's strategic approach to serving the dual eligible market during a December 6, 2012 webinar, "Care Coordination for Dual Eligibles: A Results-Oriented Approach," a 45-minute webinar sponsored by The Healthcare Intelligence Network.

People receiving MediCal are required to use a managed care plan for health care. Now, California is sending another quarter of its poorest and most vulnerable citizens into the for-profit system. Those whose health care is paid for by both Medicare and MediCal, the so-called dual eligibles, are being hustled down the road toward managed care. Many see this as a state-mandated nightmare. And, there are many affected who, for better or worse, know nothing about it yet. Today, we're going to pull apart the strands of this knotty topic and let you know what is coming, how dangerous (or harmless) it is, and what you can do to help protect yourselves and your loved ones. Guests: Michelle Rousey, Advisory Committee Chair, Alameda County Public Authority John Stansbury, Administrator, California IHSS Consumer Alliance. (CICA) Plus, in just a week on December 7, the national period for Medicare open enrollment closes for another year. We talk to retired teacher, Jean Blake, one of the millions who are faced with the difficult decision of choosing a health care plan in the swamp of complicated and over-lapping bureaucracies. Hosted by Adrienne Lauby The post Managed Care: California's Dual Eligibles and Medicare appeared first on KPFA.