Learn more about new healthcare trends and our tips for managing risk, launching new products, optimizing spend, and delivering value-based care by browsing blogs, webinars, case studies, and other valuable content pieces from the Clearlink team.
Case Studies
Boosting NCQA Compliance in Complex Case Management
Many Managed Care Plans (MCPs) are under pressure to meet evolving case management standards and achieve NCQA accreditation, opting to insource services for greater process control as their member populations grow.
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Blogs
Health Equity, a Cross-Functional Commitment
Health equity isn’t merely a single departmental function; it’s a collective responsibility for the entire health plan. Every person within the health plan holds the responsibility of identifying ways to increase access, improve efficiency and guarantee quality care for all members.
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Tip Sheets
5 Best Practices for Retaining and Engaging Your Members Amidst Redetermination
The unwinding of the Medicaid continuous enrollment provision is a stressful and complex process, but it’s critical that health plans empower, engage, and retain members throughout the initiative.
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Fact Sheets
SNP Complex Case Management
Health plans face unique challenges in providing high-quality care to members with complex needs. Building a comprehensive model of care for Special Needs Plans (SNPs), including Dual Eligible Special Needs Plans (D-SNPs) and Chronic Special Needs Plans (C-SNPs), is a significant achievement.
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Case Studies
D-SNP Product Design & Delivery
A 400,000-member government program-focused managed care organization, part of a world-renowned integrated care delivery system, sought to expand its product offerings and introduce a Dual Special Needs Plan (D-SNP) in the state. It turned to Clearlink’s government program design experts to provide end-to-end design and delivery capabilities to implement the new D-SNP product.
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Checklists
5 Steps for a Successful SNP Model of Care Submission
The Model of Care (MOC) must be built on evidence-based practices, must demonstrate your health plan’s ability to provide high-quality healthcare services to vulnerable populations, and must describe your approach to care coordination, member engagement, and other key areas. Achieve smooth SNP MOC preparation, submission, and approval using a handy checklist.
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