RIC Resources for Plans & Providers: Dually Eligible Members

February 14, 2020

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Wellness Rewards and Incentives Programs: Tips for Medicare-Medicaid Plans
This resource provides information and promising practices related to identifying and selecting rewards and incentives and improving member participation. These rewards and incentives may increase participation in preventive care, which can improve member health outcomes. Medicare-Medicaid Plans that tailor rewards and incentives programs for their member populations may also benefit from higher member satisfaction and overall engagement.

Supporting Persons with Co-Occurring I/DD and Behavioral Health Needs: Spotlight on Partners Health Plan New York
Partners Health Plan (PHP) is New York’s only Medicare-Medicaid Plan exclusively serving individuals with intellectual and developmental disabilities (I/DD). PHP takes a person-centered and integrated approach to care planning and service delivery. This spotlight shares tools and methods for training staff to ensure that care coordinators have the skills necessary to support members with co-occurring I/DD and behavioral health needs. It also outlines how PHP partners to build a network of providers and community-based organizations for integrated access to behavioral health services.

Spotlight on the Wisconsin STAR Method: Care Wisconsin’s Approach to Person-Centered Assessment and Care Management for Dually Eligible Beneficiaries
The Wisconsin STAR Method is a person-centered care management approach that supports care team members in visually mapping physical, social, and environmental factors at play when caring for individuals with complex medical, social, and behavioral health needs, including those dually eligible for Medicare and Medicaid. This approach helps to pinpoint causes of health care issues that impact outcomes but may be addressed with simple, practical solutions.

Resources for Integrated Care (RIC) develops and disseminates technical assistance and actionable tools for providers of beneficiaries dually eligible for Medicare and Medicaid based on successful innovations and care models.

Questions? Contact RIC@Lewin.com

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Last modified on 02/14/2020

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