Two strategic themes to consider when evaluating healthcare trends in the ever evolving healthcare environment are the continuing evolution of care and the management of complex health services required by dual-eligible patient (eligible for benefits under both Medicaid and Medicare). Making these patients a top priority is crucial to further propel the evolution of healthcare management.

  • Two major themes to consider when evaluating healthcare trends in the rapidly evolving healthcare environment: 

    • Continuing evolution of accountable care (AC), patient-centered medical homes (PCMHs), and health homes (HHs)
    • The management of complex health services required by dual-eligible patients (eligible for benefits under both Medicaid and Medicare)
  • These two themes are interrelated and magnify the need for more ubiquitous clinical data across the continuum of care

  • Organizations serving dual-eligible populations are affirming the need for clinical data interoperability to:

    • Drive collaborative and coordinated care management
    • Achieve better outcomes
    • Improve member health status
    • Foster a more sustainable health industry business model

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