Why You Shouldn’t Settle for Partial Duals

Josh Weisbrod from Network Health and Keslie Crichton and Sean Libby from BeneLynk, join Eric to discuss opportunities and challenges in identifying and converting members to full dual status, including specific examples and an outlined roadmap into this additional revenue stream.

After listening to this episode, you will understand:

• Why identifying members as “full or partial” matters
• How much revenue you may be leaving on the table
• What components need to be in place to convert members

Acronym Glossary

• MSP - Medicare Savings Programs
• ABD- Age Blind and Disabled
• MAPP - Medicaid Purchase Plan
• SSI - Supplemental Security Income
• QMB - Qualified Medicare Beneficiary
• SLMB - Specified Low-Income Medicare Beneficiary
• QI-1 - Qualifying Individual
• SNAP - Supplemental Nutrition Assistance Program
• LIS - Low-Income Subsidy
• SSA - Social Security Administration
• CMS - Center for Medicare and Medicaid Services
• MAO - Medicaid Add On
• MA - Medicare Advantage
• HCC - Hierarchical Condition Category
• FPL - Federal Poverty Level
• MAGI - Modified Adjusted Gross Income
• PMPM - Per Member Per Month
• HRA - Health Risk Assessment
• D-SNPs - Dual Eligible Special Needs Plans

BeneLynk sponsors this Episode of Bright Spots in Healthcare.

BeneLynk is arguably the most innovative Dual Advocacy organization in the country. Benelynk’s mission is to improve people’s lives and positively impact social determinants of health barriers by granting their healthcare partners the necessary information while providing healthcare consumers with the advocacy they deserve. They use innovative technology that enables their people to have a dynamic conversation that flows organically to meet social determinants of health challenges and, as such, can build stronger human connections. This carefully planned combination generates exceptional results. Visit their website at http://www.benelynk.com