Blueprint for Health Plans: Integration of CBOs to Provide Social Services and Supports (Full Report)
The integration of community-based organizations (CBOs) into health plan networks, on both a formal and informal basis, can help meet the needs of older adults with complex medical and social needs. The Blueprint for Health Plans (Full Report) highlights successful partnerships for delivering social services and helps identify future opportunities.Date Updated: 03/05/2019
The current health care system does not adequately meet the needs of older adults with complex medical and social needs, which are intimately related. Despite mounting evidence that supports the integration of the medical and social models of care, the transition to a more comprehensive delivery system has not been simple or intuitive for health plans or social service providers. The result is that care often remains uncoordinated and fragmented for older adults, specifically for those eligible for both Medicare and Medicaid (referred to as dual eligible). Following is an examination of the challenges and opportunities that health plans serving the dual eligible population face and a roadmap for how plans can develop networks that reflect both the social and medical needs of members. However, it is important to recognize that plans are only one part of the system that serves the dual eligible population, and coordination efforts by all the organizations and entities that serve this population is necessary to achieve a more person-centered system of care…
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High quality, cost effective health care delivery is all about targeting – the right care, by the right provider, at the right time, in the right place, and for the right cost. It sounds straightforward, almost easy. The challenge to getting it right is understanding the range of variables in a person’s life that drive health care use and costs. Find out more in this week’s Perspectives.
Chances are you know and love an older person with needs. Maybe it’s that neighbor of yours whose trash cans you help bring in once a week. Perhaps it’s your grandparent or even a parent who needs help understanding the bills or getting the groceries up the stairs. The reality is the population of older adults in this country is growing rapidly due in large part to the aging of baby boomers – a demographic shift that affects us all. Advancements in health care and technology have also spurred this phenomenon, yet we know that a longer life also brings a greater likelihood of facing multiple chronic health conditions and possibly needing help with everyday activities.
In this Perspectives, Dr. Chernof reflects on the Foundation’s presence at the 2012 American Society on Aging Conference and how improving long-term care in California will require the long-term strategies and dedication of a social movement.