The HMO Workgroup on Care Management represents both health insurance plans and group practices that are capitated by health insurance plans for a significant portion of revenues. Health plans and capitated provider groups are referred to, collectively, in these documents as Managed Care Organizations (MCOs). Workgroup participants hold senior medical and patient care management positions within their respective organizations, all of which enroll significant numbers of older adults under Medicare capitation, known as Medicare+Choice, contracts.
| Over the past seven years, the HMO Workgroup on Care Management has met quarterly to discuss ways in which the delivery of care to Medicare beneficiaries can be improved. The eight reports released by the Workgroup are: |
Also in this section:
- One Patient, Many Places: Managing Health Care Transitions, February 2004 (.pdf - 397 KB)
- Summaries of: "Improving the Care of Older Adults with Common Geriatric Conditions" (.pdf - 133 KB)
- Improving the Care of Older Adults with Common Geriatric Conditions: February 2002 (.pdf - 319 KB)
- Risk Screening Medicare Members Revisited: February 2000 (.pdf - 76 KB)
- Establishing Relations with Community Resource Organizations: An Imperative For Managed Care Organizations Serving Medicare Beneficiaries: January 1999 (.pdf - 77 KB)
- Geriatric Case Management: Challenges and Potential Solutions in Managed Care Organizations: January 1999 (.pdf - 109 KB)
- Planning Care for High-Risk Medicare HMO Members: July 1997 (.pdf - 149 KB)
- Identifying High-Risk Medicare HMO Members: April 1996 (.pdf - 174 KB)
- Screening Questionnaire in Adobe Acrobat Format (.pdf - 60 KB)
