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Membership Continuing Education
Proactive Care Management with New Managed Medicaid Member

Publication Date: 3/31/2020

Speaker: Kathy Neal, RN, DNP
Length:1 hour


Abstract
To identify and resolve care needs of newly enrolled managed Medicaid members in a more efficient manner, one health plan began sending a standardized survey to all newly enrolled Medicaid managed care members in the member’s preferred language. Using a process of continuous quality improvement, the surveys were reviewed and referrals were made to care management, health education and community partners to optimize outcomes of newly enrolled members. Data collected will be displayed to demonstrate how it can be used to identify significant health needs and direct future population health strategies. Review and discuss the process and outcomes of the survey during the first 18 months of implementation and illustrate future opportunities to identify and intervene with physical, mental and social determinants of health.


Learning Objectives:
1. Review the advantage of a standardized structured survey and discuss effective delivery methods.
2. Identify specific questions to target physical, mental and social determinants of health.
3. Interpret and display data to gain key stakeholder engagement.

Proactive Care Management with New Managed Medicaid Member

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