Dual Eligibles: Closing Care Gaps and Engaging Members in Self-Management




Healthcare Intelligence Network show

Summary: The philosophy that healthcare is local --- and therefore, care needs to be local and community-based --- forms the core of WellCare's efforts to connect its dually eligible population to health services, explains Pamme Taylor, WellCare's vice president of advocacy and community-based programs. The Tampa-based healthcare company takes a culturally competent approach to assessing duals' unique personal circumstances, ensuring their "soft landing" into WellCare's care coordination system. Care managers at the heart of WellCare's multidisciplinary team, conducting a comprehensive needs assessment with each Medicare-Medicaid beneficiary and driving the resulting care plan, ensuring duals' complex care needs are met at the most appropriate time and level. Ms. Taylor shared Wellcare's strategies for meeting members' needs with community-based partnerships and engaging duals in self-management of their care during an October 2, 2013 webinar, "Dual Eligibles: Closing Care Gaps and Engaging Members in Self-Management."