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Designing and Implementing Medicaid Disease and Care Management Programs

Exhibit 3.1. Care management population selection and enrollment process

Exhibit showing the care management population selection and enrollment process in three stages. For details, please go to [D] Test Description below.

[D] Text Description

This is an exhibit showing three separate processes in three separate text boxes in a horizontal row. The first text box has an arrow that points to the second text box, and the second text box has an arrow that points to the third text box.

Text Box 1

Selecting Eligible Population

  • Specific Diseases.
  • High-Risk Members.
  • "Population-Based" Approach.

Text Box 2

Identifying and Stratifying Members

  • Claims Data.
  • Risk Stratification.
  • Health Assessments.
  • Predictive Modeling.

Text Box 3

Enrolling Members

  • Opt-In vs. Opt-Out.
  • Outreach Materials.
  • Hospital Enrollment.
  • Coordination with Other Organizations.
  • Consumer Incentives.

Return to Document

Publication:
07(08)-0063

Page last reviewed October 2014
Page originally created March 2008

Internet Citation: Exhibit 3.1. Care management population selection and enrollment process. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh3-1.html

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