Webinar: Improving Care for Dual Eligibles: How States are Innovating through Medicare Advantage D-SNP Plans
January 9, 2017 from 1:30-2:30 Eastern
This webinar will explore how states can use contracts with Medicare Advantage “D-SNP” plans to improve care for dual eligibles, advance Medicare-Medicaid alignment, and support broader payment and delivery system reform. Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that serve individuals who are eligible for both Medicare and Medicaid. To operate in a state, D-SNP plans are required to have a contract with the state that describes the plans’ responsibility to coordinate Medicare and Medicaid benefits.
After a brief review of relevant D-SNP policies by CMS, speakers from Arizona, Minnesota, and Tennessee will discuss how their states have developed and implemented D-SNP contracts to align health plan coverage under Medicare and Medicaid, link D-SNP plans to Medicaid managed services and supports (MLTSS) programs, and facilitate information sharing, among other goals.
Speakers:
- Nishamarie Sherry Romanik, Director, Division of Policy Analysis and Planning, Medicare Drug & Health Plan Contract Administration Group, Center for Medicare, Centers for Medicare & Medicaid Services
- Tom Betlach, Director, Arizona Health Care Cost Containment System
- Gretchen Ulbee, Manager, Special Needs Purchasing, Minnesota Department of Human Services
- Patti Killingsworth, Assistant Commissioner and Long Term Care Chief, TennCare Bureau, Department of Finance and Administration, State of Tennessee
- Trish Riley, Executive Director, NASHP, moderator
In addition to joining the Webinar, see NASHP’s recent report, A Federal-State Discourse on Aligning Health Care Payment and Delivery to Improve Care for Dual Eligibles.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































