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Medicaid Managed Care - U.S. Senate Special Committee on Aging

Medicaid Managed Care - U.S. Senate Special Committee on Aging

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Page 20<br />

829<br />

What Can HealthPartners Do?<br />

The Community Advisory Council, the Parent Advisory<br />

Council, al<strong>on</strong>g with the families interviewed and physicians<br />

surveyed, agreed that staff model HMOs like HealthPartners<br />

need to develop strategies that promote the overall health and<br />

well-being of children with chr<strong>on</strong>ic illness and disability and<br />

their families. They make the following recommendati<strong>on</strong>s to<br />

HealthPartners:<br />

1. Expand case management and care coordinati<strong>on</strong><br />

so that:<br />

A A care coordinator works with a physician to<br />

improve the care the family is receiving;<br />

A A care coordinator investigates resources that are<br />

unfamiliar to the physician and the family, and<br />

identifies those resources that are most beneficial;<br />

and<br />

A A care coordinator links families with community<br />

services.<br />

2. Advocate for an industry-wide acceptance of<br />

benefits based <strong>on</strong> the needs of children so that:<br />

A The development of children with disabilities is<br />

not stymied by a benefits package based <strong>on</strong> adult<br />

needs;<br />

A Benefits are flexible and allow for individual family<br />

and child needs; and<br />

A Benefits are presented clearly and applied<br />

c<strong>on</strong>sistently across disease groups.<br />

3. Increase the coordinati<strong>on</strong> of care within<br />

HealthPartners so that:<br />

A Referrals are streamlined for the special needs<br />

populati<strong>on</strong>;<br />

A Referrals are designated for a specific period of<br />

time;<br />

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