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Welcome to the OPEN MINDS Circle library! For over 30 years, our team has covered the news, trends, metrics, regulatory changes, and thought leaders shaping the sectors of the health and human service field that affect consumers with chronic conditions and complex support needs. This is your gateway to this $860 billion market — all the information your team needs to stay on top of the market, make strategic decisions, and manage highly effective organizations.

Executive Briefing

The Path Forward In Serving The Dual Eligible Population

By Sarah C. Threnhauser, MPA

In December of last year, the Centers for Medicare and Medicaid Services (CMS) released guidance to state Medicaid programs on how to better serve consumers who are dually eligible for Medicare and Medicaid. The guidance recommended that states leverage managed care models to better ingrate care for dual eligible populations, including existing dual eligible special needs plans (D-SNPs) and Programs of All-Inclusive Care for the Elderly (PACE). The guidance also referenced new opportunities for states to improve data exchange and streamline the enrollment process (see CMS Guidance To State Medicaid Directors Recommends Leveraging Managed Care To Improve Services For Dual Eligibles and State Medicaid Director Letter #18-012 RE: Ten Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare). But the general direction...

The term long-term services and supports (LTSS) refers to care provided to individuals with functional limitations and chronic illnesses who need help completing activities of daily living. Activities of daily living include activities such as bathing, dressing, preparing meals, and administering medication. Under a managed long-term services and supports (MLTSS) system, state Medicaid programs choose to finance and manage...
On April 8, 2019, Blue Cross and Blue Shield of Texas (BCBSTX) announced a partnership with Sanitas USA to open 10 advanced primary care medical centers in Dallas and Houston. All 10 locations will offer extended weekday and weekend hours, and some will be open 365 days per year. The centers will provide primary care, urgent care, lab and...

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