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care coordination for Dual-Eligibles; care coordinator assisting a patient
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Improving Care Coordination for Dual-Eligible Individuals: Strategies for Better Health Outcomes

For individuals who qualify for both Medicare and Medicaid—commonly known as dual-eligibles—navigating the healthcare system can be daunting. These individuals often have multiple chronic conditions, require long-term care, and experience socioeconomic barriers that complicate their ability to access necessary services. Because they must interact with two distinct healthcare programs with…

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A care manager providing coordinated care services to a medicare advantage health plan member.
Insights

What is Care Coordination?

Care Coordination Is The Right Care at the Right Time In the Right Place Care coordination is a patient-centered approach that facilitates the seamless delivery of healthcare services across various providers, settings and levels of care. It involves the deliberate organization and management of patient care activities to ensure that…

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SDOH Screening tools and assessment performed by a nurse practitioner.
Insights

Introduction to Social Determinants of Health (SDOH) Screening Tools

CMS has recently announced plans to extend SDOH screenings to outpatient settings, with voluntary reporting in 2025 and mandatory reporting beginning in 2026. Health plans that proactively adopt and implement SDOH screening tools across various care settings, including annual wellness visits and in-home healthcare visits, can gain significant advantages.

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