State and Health Plan Strategies to Grow Enrollment in Integrated Managed Care Plans for Dually Eligible Beneficiaries
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Key Findings
Key Findings:
- States can assist health plans with growing their enrollment through strategies surrounding program design decisions, communications and marketing, and ongoing enrollment support.
- Health plans can retain and grow their enrollment through their relationships with providers, relationships with enrollees, linkages of enrollees to care coordinators, and coordinating and improving access to care over time.
States and health plans that provide Medicare and Medicaid services to dually eligible beneficiaries can work together to achieve the levels of enrollment that are needed to support effective health plan coordination of these services. States can support enrollment growth through program design decisions, marketing support, and beneficiary education. Health plans have an especially important role in retaining and growing their enrollment in an environment in which enrollment for Medicare services is voluntary. They must consistently demonstrate that they can provide better access to and coordination of Medicare and Medicaid services than other alternatives and ensure enrollees’ timely and appropriate care. Plans’ ability to retain enrollment can be monitored through a standardized measure of voluntary disenrollment from the plan that is reported each year in the Centers for Medicare & Medicaid Services star ratings system for Medicare managed care plans.
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