Avalere Issues White Paper on the Management of High-Risk Medicare Populations in Partnership with The SCAN Foundation

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New Avalere research for The SCAN Foundation demonstrates the ROI potential of well-targeted care coordination programs supported by robust data.
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In a new report on effective care management of high-risk Medicare beneficiaries, our Avalere experts make the case for three key best practice strategies.

  1. Identify the full range of risk factors: Exclusive focus on medical conditions limits a plan’s ability to identify and manage spending for the members most likely to incur the highest Medicare costs.
  2. Improve data collection with a well-developed health risk assessment: Improve risk stratification and care coordination targeting by investing in the HRA process as a source of powerful, relevant member information.
  3. Implement targeted care coordination programs to drive outcomes and ROI: Our analysis has revealed the potential for substantial cost savings when transitions are managed care the care continuum of care.

For a copy of our the full white paper, download the attached PDF.

Webinar | A Closer Look at Patient Support On June 6 at 2 PM ET, Avalere experts will explore how potential implications of the Inflation Reduction Act (IRA)’s out-of-pocket cap, in addition to other key regulatory and policy activities shaping benefit design and patient cost-share (e.g., EHB), could impact patient commercial and foundation assistance. Learn More

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