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Managed Care Organizations

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  • Topic: Managed care organizations
  • Age: Seniors (65+)
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Wisconsin Partners Up to Offer Managed Care for the Elderly, Disabled

August 1, 2003 | Program Result

Wisconsin's Department of Health and Family Services developed and implemented a community-based managed care program for frail elderly people and people with physical disabilities who met nursing home admission criteria.

Seattle Managed Care Group Finds Implementing a Chronic Care Clinic Difficult

January 1, 2002 | Program Result

The Group Health Cooperative of Puget Sound developed and evaluated a new approach to providing managed primary care to patients with chronic conditions within chronic care clinics that facilitate collaboration among patients, families and clinicians.

Nevada HMO Creates a Model for Managing Chronic Illnesses by Coordinating Care

January 1, 2002 | Program Result

Sierra Health Services designed and evaluated for replicability a model of care to improve the identification of high-risk members and better integrate case management into the primary care setting.

New York HMO Recruits 445 Volunteers for Service Credit Banking Program

September 1, 2000 | Program Result

Oxford Health Plans, Inc., created its service credit banking program, called Partners In Caring, to assist Medicare members with nonmedical needs by recruiting and training community volunteers.

Minnesota HMO Matches Healthy Plan Members with Medicare Recipients Needing Help

September 1, 2000 | Program Result

Medica Health Plan created the Volunteer Investment Program to match healthy plan member volunteers with Medicare members who required companionship, help with chores, grocery shopping and other special services.

California HMO Logs 9,000 Volunteer Hours in Service Credit Banking Project

September 1, 2000 | Program Result

CareAmerica Health Plans, a for-profit health insurer in Southern California, launched its CareXchange SCB (Service Credit Banking) program in Glendale, Calif.

HMOs in California Decrease Use of Inpatient Care by Medicare Enrollees

August 22, 2008 | Program Result

The number of Medicare beneficiaries enrolling in managed care has increased since the passage of the Medicare Modernization Act (MMA) and the establishment of Medicare Advantage Plans in 2003.

Service Credit Banking in Managed Care

October 25, 2007 | Program Result

Service credit banking programs seek to help elderly people remain healthy, independent, and in their homes by enlisting volunteer caregivers to provide supportive services.

Seniors Face Difficulty Navigating Choices in Medicare Managed Care

August 1, 2005 | Program Result

In 1997, Congress approved the Medicare+Choice program, which sought to contain costs and expand seniors' health plan choices by increasing access to managed care plans.

Medicare/Medicaid Integration Program

National Program

A state demonstration program to test the operation and design of delivery systems that integrate long-term and acute care services under combined Medicare and Medicaid capitation payments for elderly patients.

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