The approximately 9 million low-income elderly and disabled individuals who are Medicare and Medicaid dual eligibles are poorer and sicker than Medicare and Medicaid beneficiaries as a whole, and consequently account for disproportionate shares of Medicaid and Medicare spending, according to a study by the Kaiser Commission on Medicaid and the Uninsured. Dual eligibles make up 15 percent of Medicaid beneficiaries but account for 39 percent of Medicaid spending; they make up 21 percent of Medicare beneficiaries but account for 36 percent of Medicare spending.
With a long history in serving Medicare beneficiaries, SCAN Health Plan has a multi-pronged, strategic approach to reaching dual eligibles based on the specific needs of the member. This unique care management model emphasizes prevention and early intervention, with a focus on medication management.
Recent analyses by Avalere Health of SCAN Health Plan's care management model demonstrate its effectiveness in reducing readmission rates and inpatient hospital admissions and producing significant cost savings tied to the improvement in health status of members.
Listen to pre-conference comments from Dr. Timothy Schwab.
During Care Coordination for Dual Eligibles: A Results-Oriented Approach, a December 6th, 2012 webinar, Dr. Timothy Schwab, chief medical officer, SCAN Health Plan, shares his organization's strategic approach to serving the dual eligible market.
Dr. Schwab covers:
- The issues and solutions for serving the dual eligible market;
- Current trends in the dual eligible marketplace;
- Developing relationships with long term care services and support providers to manage care for dual eligibles;
- Integrating acute and long term care coordination; and
- Metrics to follow in the dual eligible market.
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On Demand version.
WHO WILL BENEFIT FROM THIS CONFERENCE?
Presidents/CEOs, CFOs, chief operating officers, vice presidents, medical directors, reimbursement executives, analysts, business development executives, consultants, directors, executive directors, financial/business managers, and strategic planning executives.
ABOUT OUR PANELIST:
||SCAN's Interdisciplinary Care Team for dual eligibles is a multiprofessional group encompassing many geriatric specialists.
Timothy C. Schwab, M.D., F.A.C.P., M.H.A., is the chief medical officer at SCAN Health Plan.
Dr. Schwab sets all of the SCAN medical policies and is responsible for strategic initiatives designed to enhance the healthcare experience for members.
Dr. Schwab manages pharmacy and oversees the medical directors within SCAN. He also supervises the departments in charge of PACE and Medicaid development, and Independence at Home, which operates the largest MSSP site in California. Dr. Schwab served as site director in the Social HMO demonstration project activities and the ESRD Medicare demonstration program. He also participated in the development and implementation activities of 2nd generation Social HMO sites until the end of the demonstration in 2007.
Prior to joining SCAN Health Plan in 1990, Dr. Schwab served as Medical Director of Physicians of Greater Long Beach, an independent physicians association. He also practiced internal medicine for 10 years as a Partner with Harriman Jones Medical Group based in Long Beach, California.
Dr. Schwab participates in several professional organizations and formerly served as President for both the California Society of Internal Medicine and the Long Beach Society of Internal Medicine. Dr. Schwab serves on the California Olmstead Committee; was a delegate to the 2005 White House Conference on Aging; and has also played an active role in several committees of the American Society of Internal Medicine and the American College of Physicians. Dr. Schwab was on the Board of Directors of Front Porch, a NFP senior housing organization until 2012.
Dr. Schwab received a Doctor of Medicine from the University of Colorado and completed his residency in internal medicine at St. Mary Medical Center, part of the UCLA system, in Long Beach. Dr. Schwab holds a Masters Degree in health administration from the University of La Verne and received a Bachelor of Science degree from Colorado State University.