Medicare Dual Eligible Initiatives

Efforts from the CCNC

medicareAs a leader in South Carolina home health care, we work with many individuals who are on Medicare, and when it comes to Medicare, there are some patients (labeled dual eligibles) who qualify for a Medicare Savings Program or qualify for Medicaid benefits. These dual eligibles can usually take advantage of the Qualified Medicare Beneficiary benefits and be paid first by Medicare, then have the remainder paid by Medicaid.

To assist these individuals, the Community Care of North Carolina is getting involved.

The CCNC’s Initiatives

Community Care of North Carolina is a “statewide medical home and care management system” that brings together nurses, physicians, hospitals, and other healthcare organizations to provide patient-centered care. The system has recently worked with the NC Division of Medical Assistance and other divisions of the Department of Health and Human Services to improve the costs and condition of care for dual eligibles.

The state of North Carolina was one of only 15 to be awarded a planning grant from the federal Centers for Medicare & Medicaid Innovation and the Federal Coordinated Health Care Office. With this grant, the CCNC developed a proposal that aims to “improve access to training and education for beneficiaries, family caregivers, and providers, “develop broader community dialogue about advance directives & palliative care options,” provide “support for evidencebased best practice programs,” and more, to aid dual eligibles.

Progress

So far, Massachusetts and Washington have been able to partner up with the Centers for Medicare & Medicaid Services to test out their dual eligibles models. The CCNC (and our South Carolina home health care company) hopes North Carolina will be next.

Stay tuned for more news on this topic.

Affiliations

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