Key Lessons from Modern Healthcare’s “Coordinating Care for Dual Eligibles” Webinar
April 4, 2014 § 1 Comment
Earlier this week, Modern Healthcare hosted an informational webinar on CMS-led dual-eligible demonstration projects. Taking part were Commonwealth Care Alliance Senior Vice President for One Care Leanne Berge, Commonwealth Community Care Medical Director John Loughnane, and Jane Ogle, Deputy Director of Health Care Delivery Systems at the California Department of Health Care Services. The webinar provided guidance about coordinating care for this patient population, tips on partnering with health plans and community-based organizations, and strategies for ensuring patient-centered care.
Here are a few key takeaways from the webinar:
- Establish relationships with patients – “These are often patients who have not had a lot of interaction with chronic care management or primary care providers. These are folks who have had uncoordinated care, or what they ‘call care as they need it,’” said John Loughnane. He went on to say, “Ultimately, to be successful, you need to have a relationship. If you just jump in and provide heavy-handed medical care, you’re getting nowhere. You need to show this person you’re meeting them at a real human level.”
- Form interdisciplinary teams designed with the patient in the center – “This is about enhanced primary care, but it’s much more than that,” said Leanne Berge. “It’s about integration of all the different service models and ensuring that the member is at the center of it all in terms of care planning, individualized care, and making choices that are best for them.”
- Address behavioral health needs – “The behavioral health substance abuse issues are much higher than we’ve seen in our Senior Care Options population,” said John Loughnane. “A lot of feedback from patients in this endeavor focuses on providing peer support. It’s more effective if you have a peer support person who can say ‘I’ve been through this.’”
- Provide continuity of care – “An important protection for our advocates and consumers was continuity of care,” said Jane Ogle.In California, the hope is that an out-of-network provider would become a plan provider, she explained. Similarly, the Massachusetts program also aims to contract with One Care members’ current primary care providers to ensure care continuity.
The full webinar, which is about one hour long, is available on Modern Healthcare’s website. Here is the link: http://www.modernhealthcare.com/article/20140227/INFO/302279979/webinar-coordinating-care-for-dual-eligible-beneficiaries#