Inside the Black Box of Managed Care: Serving At-Risk Older Adults in Massachusetts’ Senior Care Options Program
2024

Understanding Managed Care for Older Adults in Massachusetts

Sample size: 35000 publication

Author Information

Author(s): Nadash Pamela, Cohen Marc, Miller Edward, Fassi Janelle, Pallis Maryssa, Siebecker Megan, Simpson Elizabeth

Primary Institution: University of Massachusetts Boston

Hypothesis

How does the Commonwealth Care Alliance model address the needs of dually eligible Medicare and Medicaid members?

Conclusion

The study highlights the challenges and adaptations of the Commonwealth Care Alliance in providing integrated care for vulnerable older adults.

Supporting Evidence

  • The Commonwealth Care Alliance serves approximately 35,000 dually eligible individuals.
  • The study identifies challenges in ensuring access to clinical care and health-related services.
  • It discusses the evolution of CCA’s model of care over time.

Takeaway

This study looks at how a health organization helps older people who have both Medicare and Medicaid get the care they need.

Methodology

The study used key informant interviews and data collection to understand the organizational experience of the Commonwealth Care Alliance.

Participant Demographics

Participants included older adults dually eligible for Medicare and Medicaid.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3395

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