Donated Care Program Enhances Access to Ongoing Care for Uninsured Patients, Resulting in Significant Reductions in ED Visits, Hospitalizations, and Costs
CarePartners, a donated care program, matches uninsured Maine residents with primary care physicians who are willing to care for up to 10 patients for free. Case managers help enrollees obtain needed services, including hospital care, specialist services, and free or low-cost drugs through prescription assistance programs.
School-Based Prenatal Care Coordination Program Enhances Access to Culturally Sensitive Care, Improves Birth Outcomes for Immigrant and Minority Teens
A high school–based clinic added an obstetrics care coordination program to provide pregnant Hmong and African-American students with comprehensive and culturally sensitive prenatal care, education, support, and referrals to community resources. The program has led to increased knowledge and confidence among teens and good birth outcomes.
Plan-Funded Team Coordinates Enhanced Primary Care and Support Services to At-Risk Seniors, Reducing Hospitalizations and Emergency Department Visits
Commonwealth Care Alliance developed a health plan that provides low-income, dually eligible, elderly enrollees in Massachusetts with a primary care team made up of a physician, nurse practitioner, and geriatric specialist who work out of the enrollee's primary care clinic.
Monthly Text Messages Increase Compliance With Recommended Blood Glucose Testing in Medicaid Managed Care Enrollees With Diabetes
A Medicaid managed care organization uses cell phone text messaging to remind members with type 2 diabetes to get regular blood glucose testing, leading to a significant increase in the percentage of members receiving tests on a regular basis.
Medicaid Plan Offers Diabetic Patients Access to Fitness Facilities and Coaching, Leading to Weight Loss and Improvements in Cholesterol and Blood Glucose
Medicaid managed care enrollees with type 2 diabetes receive free access to YMCA facilities and have regular meetings with nurses, dietitians, and personal trainers that focus on diet, exercise, and other aspects of disease self-management, leading to weight loss and improvements in body mass index, cholesterol, and blood glucose control.
Dual Eligibles: Medicaid’s Role for Low-Income Medicare Beneficiaries
This fact sheet describes the Medicaid/Medicare dual eligible population and related issues including why this population needs Medicaid, what services they receive from Medicaid, and the current policy challenges related to dual eligibles, including the new Medicare prescription drug benefit.