This report examines 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. Health 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. Examples of health plan partnerships with community-based organizations are provided. The challenges and success of the provided examples demonstrates that there is a pathway for creating successful partnerships, however the current system is not conducive to large scale adoption of integrated networks.
Tags: Building the business case , Capacity considerations , Partnership lessons , Publicly Available