5 min read
Care coordination for Medicare Advantage: social determinants of health and care management
Care management and social determinants of health (SDOH) programs must work together to address a more comprehensive picture of member health. Currently, more than 40% of the most substantial impacts on members’ health are social and economic factors. The idea of care is changing with the shift from service-based care to value-based care, especially for Medicare Advantage members with multiple chronic conditions.
Topics: Care Management SDOH
4 min read
Complex care management services shifting to a holistic home-based approach
Medicare Advantage (MA) plans are evolving to address their growing market—10,000 baby boomers are now retiring every day, and Medicare Advantage health plans are set to become 50% of the Medicare market by 2025—increasing programs for care management and bringing services to the home to improve care and reduce utilization in their high-risk members.
Topics: Care Management Complex Care Management
2 min read
Thanksgiving is also National Family Health History Day
The table is set, and the turkey is carved. Your family is all at the table—for most of us, that’s a rarity. So what will be the topic of conversation with the multiple generations sitting at your table for Thanksgiving Dinner? In honor of National Family Health History Day, consider using this opportunity to discuss the chronic conditions that affect or have affected your loved ones and relatives.
Topics: Member Engagement Care Management
2 min read
High risk medication prescriptions and the impact on a plan’s Star Rating
The American Geriatrics Society (AGS) added benzodiazepines, commonly prescribed to treat insomnia and sleeplessness, as potentially inappropriate medication (PIM) according to the Beers Criteria in 2015. Older adults have increased sensitivity to benzodiazepines and decreased metabolism of long-acting agents; in general, all benzodiazepines increase risk of cognitive impairment, delirium, falls, fractures, and motor vehicle crashes in older adults.