A Humana study in Health Affairs found that 80% of dual-eligible beneficiaries had at least one health-related social need in 2019, compared to 48% of non-dual-eligible enrollees. While prevalence was higher in dual-eligible enrollees, non-dual-eligible enrollees shouldn't be overlooked, researchers said.
A recent Yale study found no correlation between 30-day hospital readmissions for dually eligible Medicare Medicaid patients and census reported social determinants of health, though the study anticipated it would. The lack of correlation could be due to additional SDOH beyond the scope of the study.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
According to data from CMS, while dual-eligible patients make up only 15 percent of Medicaid enrollees, they are responsible for 33 percent of the program's expenditures.
CMS announced the second batch of prospective recipients of its Health Care Innovation Awards, which brings the total amount of funding for the project to about $360 million for health systems that devise new, innovative ways to curb healthcare costs among high-risk patients. Prospective winners are selected based on “compelling new ideas to deliver better […]