Beneficiary Engagement, Counseling, and Support

Perspectives on Ombudsman Programs Serving Dually Eligible Individuals: Services Offered and Value Added

03/09/2021

This webinar provides an overview of the role of ombudsman programs in integrated care programs serving dually eligible individuals. Using the ombudsman programs developed for the demonstrations under the Financial Alignment Initiative as an example, the webinar examines ways that states have structured these programs, the types of supports that they can offer, and the value they provide to both consumers and state Medicaid agencies.

Learning Objectives: By the end of this presentation, attendees should be able to:

An Exploration of Consumer Advisory Councils within Medicare-Medicaid Plans Participating in the Financial Alignment Initiative

The Center for Consumer Engagement in Health Innovation released a report The Biggest Value is Getting the Voice of the Member describing its findings on the composition, function, and impact of the Consumer Advisory Councils operating within Medicare-Medicaid Plans (MMPs) operating in capitated model demonstrations under the Financial Alignment Initiative. The report covers topics including, recruitment and training of consumer members, accommodations to help consumers participate, and ensuring representativeness and diversity.

Building Relationships between Managed Care Organizations and Beneficiary Ombudsman Programs

2018

This webinar highlights the importance of beneficiary ombudsman programs and provides an overview of available supports, including Medicare resources and state programs that provide assistance to dually eligible beneficiaries. Representatives from Ohio’s Office of the State Long-Term Care Ombudsman and CareSource, a MyCare Ohio health plan, shared promising practices and lessons learned from their efforts supporting beneficiaries enrolled in MyCare Ohio, a capitated financial alignment demonstration.