Dually Noted from around the web

November 6, 2015 § Leave a comment

Articles, commentary, research, and more from the past week

Study reveals CMS underpays duals plans
After a review of 2014 plan data, CMS reported that it “underpays health plans that enroll large numbers of people who are dually eligible for Medicare and Medicaid.” The review came in response to long-standing complaints that dual-eligible health plans “unfairly get lower star ratings that make them ineligible for bonuses, and put them in danger of losing their Medicare contracts.” CMS vows to “modify its risk-adjustment model to make up for the underpayment.”

Governing looks at America’s duals demonstration projects
The publication Governing offers a wide-ranging look at duals demonstration programs across the country. The piece examines demonstration models in several states, including Massachusetts, and details the challenges of caring for and compensating the dual-eligible population. Profiled in the article is Dennis Heaphy, Cochairman of Disability Advocates Advancing Our Healthcare Rights, Cochairman of the Massachusetts One Care Implementation Council, and an advocate for the state’s One Care program.

More about Alzheimer’s caregivers
To mark National Caregiver Month and National Alzheimer’s Disease Awareness Month, an Alzheimer’s care professional says that caregivers are often reluctant to ask for help, don’t always take good care of themselves, and “need ongoing education and different types of help as the disease changes.” Moreover, she reports that many caregivers “aren’t often recognized or thanked” for their work – and they should be. (Dually Noted linked to a piece on the challenges facing dementia caregivers on October 16.)

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