Optimizing the D-SNP Model of Care: Strategies for Managed Care Organizations
Explore some of the top strategies MCOs can use to effectively optimize a Dual Special Needs Plan (D-SNP) model of care for complex member populations.
Explore some of the top strategies MCOs can use to effectively optimize a Dual Special Needs Plan (D-SNP) model of care for complex member populations.
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.
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.
If your organization is preparing for annual Model of Care submission, it’s crucial that your team accurately interprets regulatory requirements, prepares well in advance, undergoes training and education, and understands the operational aspects of running a Special Needs Plan (SNP).
Targeted population health management is essential to manage member risk and provide integrated, coordinated care that enhances member engagement, health outcomes, and financial incentives and rewards.
The healthcare industry has always suffered from fragmentation, but the continued division of physical, behavioral, and social health services has a profoundly negative impact on the public, the health systems that manage its care, and the resulting duplicated efforts and costs.