Blueprint for Health Plans: Integration of CBOs to Provide Social Services and Supports (Full Report)
summary
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
Overview
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…
Download the publication for all visuals and complete references.
Continue Reading
People tend to be very satisfied with their long-term care providers when they start their care, but satisfaction decreases over time.
The SCAN Foundation aims to identify models of care that bridge medical care and supportive service systems in an effort to meet people’s needs, values, and preferences. Care coordination is a central component of this vision, which ultimately leads to more person-centered care. This brief outlines The SCAN Foundation’s vision for care coordination in a person-centered, organized system.
This policy brief describes California’s results in the 2014 Long-Term Services and Supports State Scorecard, identifying areas for improvement as well as policy opportunities to transform and improve the state’s system of care.