Name: Medicare special needs plans: CMS should improve information available about dual-eligible plans' performance: report to congressional requesters. (en Inglés)
SKU: 58653434
Price: 96819.00 COP
Availability: InStock
Author: Office, U. S. Government Accountability
ISBN: 9781974231997

portada Medicare special needs plans: CMS should improve information available about dual-eligible plans' performance: report to congressional requesters. (en Inglés)

Medicare special needs plans: CMS should improve information available about dual-eligible plans' performance: report to congressional requesters. (en Inglés)

Formato

Libro Físico

Autor

U. S. Government Accountability Office

Editorial

Createspace

Idioma

Inglés

N° páginas

Encuadernación

Tapa Blanda

Dimensiones

27.9x21.6x0.3 cm

Peso

0.14 kg.

ISBN13

9781974231997

Categorías

Métodos de investigación: general

Medicare special needs plans: CMS should improve information available about dual-eligible plans' performance: report to congressional requesters. (en Inglés)

U. S. Government Accountability Office (Autor) · Createspace · Tapa Blanda

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Reseña del libro "Medicare special needs plans: CMS should improve information available about dual-eligible plans' performance: report to congressional requesters. (en Inglés)"

" About 9 million of Medicare's over 48 million beneficiaries are also eligible for Medicaid because they meet income and other criteria. These dual-eligible beneficiaries have greater health care challenges than other Medicare beneficiaries, increasing their need for care coordination across the two programs. In addition to meeting all the requirements of other MA plans, D-SNPs are required by CMS to provide specialized services targeted to the needs of dual-eligible beneficiaries as well as integrate benefits or coordinate care with Medicaid services. GAO was asked to examine D-SNPs' specialized services to dual-eligible beneficiaries. GAO (1) analyzed the characteristics of dual-eligible beneficiaries in D-SNPs and other MA plans, (2) reviewed differences in specialized services between D-SNPs and other MA plans, and (3) reviewed how D-SNPs work with state Medicaid agencies to enhance benefit integration and care coordination. GAO analyzed CMS enrollment, plan benefit package, projected revenue, and beneficiary health status data; reviewed 15 D-SNP models of care and 2012 contracts with states; and interviewed representatives from 15 D-SNPs and Medicaid agency officials in 5 states. "