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来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR2213 |
来源ID | RR-2213-ASPEC |
Types and Costs of Services for Dual Beneficiaries by Medicare Advantage Health Plans: An Environmental Scan | |
Melony E. Sorbero; Susan L. Lovejoy; Ryan Kandrack; Erin Audrey Taylor; Kathryn E. Bouskill | |
发表日期 | 2019-04-12 |
出版年 | 2018 |
页码 | 65 |
语种 | 英语 |
结论 | The needs of dually enrolled beneficiaries largely parallel the needs of high-cost, high-need patients more broadly
Health plans, providers, and community partners adopt a variety of strategies to meet the varied needs of dually enrolled and other high-cost, high-need beneficiaries
Little information is available about resources or costs required to implement and sustain these strategies
A strong, consistent evidence base is lacking
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摘要 | Beneficiaries dually enrolled in Medicare and Medicaid are less likely to receive high-quality care and less likely to be enrolled in plans that perform well in the Medicare Advantage (MA) Star Rating program than those who are not dually enrolled. However, some plans with a high proportion of beneficiaries dually enrolled in Medicare and Medicaid appear to perform well in the Star Rating program. These findings suggest that some plans have identified effective ways to meet the needs of their dually enrolled beneficiaries. As part of a qualitative study on the types of services MA plans implement and the types of resources they use to meet the needs of dually enrolled and other high-cost, high-need beneficiaries, the authors conducted an environmental scan of the literature and key informant interviews, with the goal of developing a typology of the services that MA plans implement. The findings can be used to develop a series of case studies of high- and low-performing MA plans to further explore this topic. |
目录 |
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主题 | Health Care Quality ; Health Insurance Benefit Design ; Medicaid ; Medicare |
URL | https://www.rand.org/pubs/research_reports/RR2213.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/523780 |
推荐引用方式 GB/T 7714 | Melony E. Sorbero,Susan L. Lovejoy,Ryan Kandrack,et al. Types and Costs of Services for Dual Beneficiaries by Medicare Advantage Health Plans: An Environmental Scan. 2019. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR2213.pdf(4152KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
x1555071739263.jpg.p(2KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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