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Engaging members and caregivers in designing, participating
in, and assessing care systems, helps health plans understand and address
member concerns and barriers to high-quality, coordinated care. One of the
ways health plans can engage with members dually eligible for Medicare and
Medicaid is by including them in plan governance, such as establishing
member advisory committees and recruiting members to governing boards.
Resources for Integrated Care (RIC) invites you to explore
three new resources related to engaging members in plan governance. These
resources are based on feedback from participants in the 2020
Resources for Integrated Care Community of Practice.
Engaging Members in Plan Governance During COVID-19:
Tips for Health Plans
- Because of the COVID-19
pandemic and the need for physical distancing, health plans face new
challenges to effective member engagement. This tip sheet highlights
promising practices during COVID-19 for health plans serving dually
eligible individuals. It provides tips for engaging current member
advisors, tips for engaging new member advisors, and key recruitment
approaches during COVID-19.
Encouraging Member Participation in Governance:
Spotlight on Innovative Stipends and Incentives
- Many health plans serving
dually eligible individuals support and encourage member participation
with stipends or incentives. This Spotlight highlights innovative
approaches to stipends and incentives implemented by UCare and SCAN
Health Plan. It shares UCare’s approach to providing culturally
relevant and specific incentives to support diverse representation.
The Spotlight also highlights SCAN Health Plan’s approaches to
engaging, consulting, and compensating community partners and
stakeholders in their Community-Based Organization Advisory Committee.
Recruiting, Refreshing, and Retaining Council
Membership: Tips for Health Plans
- Member advisory committee
management is an on-going effort for health plans. While committee
feedback benefits from the consistent participation of seasoned
members, committee membership may change as members complete their
terms or experience life changes that make participation more
difficult, or as plans seek to engage new voices and diverse member
perspectives. This tip sheet highlights strategies plans may use to
recruit new advisory council members and refresh council membership,
as well as promising practices for retaining member advisors.
RIC provides technical assistance and
tools for providers of beneficiaries dually eligible for Medicare and
Medicaid. RIC is supported supported by the CMS Medicare-Medicaid
Coordination Office. Please contact RIC@lewin.com
with any questions.
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