Topic: Strategies for the Successful Implementation
of an Innovative Health Care Program
Location: Westborough DoubleTree Hotel
Time: 5:30pm - 8:00pm
Debra Wallace, of Fallon Health, will identify key elements of Fallon Health’s program development and implementation of a Fully Integrated Duals Advantage (FIDA) program. Join us to review the strategies that made this project so successful!
Established by the Affordable Care Act (ACA), the Medicare-Medicaid Coordination Office launched an innovative health care program for people who are enrolled in both Medicare and Medicaid, commonly referred to as “dual eligibility.” Today there are over 10 million dual eligible enrollees in the United States who are among the sickest and poorest, and Massachusetts was the first state in the nation to respond to the call for FIDA programs.
Operating in a highly regulated environment, stakeholders included the federal Medicare Program, the state Medicaid program, dual eligible individuals, advocates, caregivers, healthcare providers and more.
Debra's presentation will cover how her team designed and implemented a ground-breaking, integrated, health care program for dual eligible individuals ages 21-64, and the challenges they faced to:
- Provide dual eligible individuals full access to the benefits to which they are entitled
- Improve the quality of health care and long-term services
- Eliminate regulatory conflicts between rules, under the Medicare and Medicaid programs.
- Achieve cost savings through coordination of care