Managed Care

 

Social media mesh with dual eligibility

MANAGED CARE February 2013. © MediMedia USA
News & Commentary

Social media mesh with dual eligibility

The consulting company PricewaterhouseCoopers, which prefers to call itself PwC now, placed caring for people with dual eligibility among its list of the top 10 health care industry issues in 2013. The people who qualify for both Medicaid and Medicare are considered to be the country’s sickest and poorest people, falling “through the cracks of two programs that were not designed to work together.”

PwC’s study “Top Health Industry Issues of 2013: Picking Up the Pace of Reform” says that $320 billion was spent on dually eligible people in 2011, accounting for 39 percent of total Medicaid and 31 percent of total Medicare spending.

The Centers for Medicare & Medicaid Services hopes that health insurers will help to manage the costs, and social media might be one of the tools. “Some duals may be receptive to using digital communication for diabetes maintenance, weight management, disease management, and chronic care programs,” the study states. PwC finds that such people “are more likely than other consumers to use social media for health care purposes (63 percent compared with 40 percent).”

Interest in using social media

Have you and a doctor, nurse, or other caregiver ever communicated in the following ways about a health question you had?

Dual eligibility

Other consumers

E-mail

42%

24%

Text messages

21%

7%

Neither of the above

52%

74%

Source: “Top Health Industry Issues of 2013: Picking Up the Pace of Reform,” PricewaterhouseCoopers , January 2013

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014