People enrolled in Medicare and Medicaid, known as dual eligibles, are among the highest cost beneficiaries in the United States. Commonwealth Care Alliance, a small non-profit insurers and to supply in Massachusetts, developed as part of a public demonstration program operated to provide comprehensive coverage and care for the elderly dual eligible population. Led by Dr. Robert Masters, worked Commonwealth Care Alliance with its contracted providers to implement and support a supply to mod … Read more »

People enrolled in Medicare and Medicaid, known as dual eligibles, are among the highest cost beneficiaries in the United States. Commonwealth Care Alliance, a small non-profit insurers and to supply in Massachusetts, developed as part of a public demonstration program operated to provide comprehensive coverage and care for the elderly dual eligible population. Led by Dr. Robert Masters, worked Commonwealth Care Alliance with its contracted providers to implement and support a care delivery model that as many members as possible to live independently outside of nursing homes can provide. The case examines Commonwealth Care Alliance Insurance and nursing approaches amidst a changing political environment and different resources. This case can be used to teach: Approaches to value-based insurance and care delivery, insurance and utilities to considerations for underserved, high-cost populations, development and structure of the U.S. Medicare and Medicaid programs, state and demonstrations and payer and provider reimbursement models .
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from
Michael E. Porter,
Jennifer F. Baron
Source: Harvard Business School
25 pages.
Release Date: 1 April 2008. Prod #: 708 502 PDF-ENG
Commonwealth Care Alliance: Elderly and disabled care HBR case solution