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It Takes a Community: Population Health Management for Members with Chronic Conditions and Functional Needs

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Thursday, October 13, 2016

Start : 10:00 AM Pacific
End : 11:00 AM Pacific

Part of the Aging and Disability Business Institute Series – a collaboration of n4a and ASA.

Medicare enrollees with chronic conditions and functional limitations represent more than half of Medicare’s highest spenders, and are more likely to use hospital inpatient and emergency department services. How can you meet the health and long-term services and supports needs of your members with chronic conditions and functional limitations, and keep them living at home, where they prefer to be? Community-based aging and disability organizations can serve as your “eyes and ears” in the home and not only provide needed services, but also engage your members in evidence-based health programs that can help them manage their own health. Come to this session to hear about an innovative partnership between a health plan and a community-based organization helping to improve health outcomes and quality of life for older adults and persons with disabilities.

Participants in this web seminar will be able to:

  • Describe an innovative model of healthcare integration using evidence based programs;
  • Understand the challenges and opportunities that health plans have when dealing with population health; and,
  • Discuss how to engage community partners to offer service packages to health plans.


M. Keith PeiferM. Keith Peifer is an experienced senior level executive with more than 15 years of leadership success in the healthcare arena. Since 2008 he has worked with Highmark Health Services in Cambridge, Mass., a diversified health and wellness company serving 34.4 million people across the United States.





Joan Hatem RoyJoan Hatem-Roy, L.I.C.S.W., is assistant executive director of Eldercare Services of the Merrimack Valley in Lawrence, Mass. Much of her work at Elder Services has focused on building an infrastructure that supports new initiatives bringing healthcare providers and Accountable Care Organizations together with the aging network for healthcare reform. 




The Aging and Disability Business Institute is funded by:

Administration for Community Living

The John A Hartford Foundation

The SCAN Foundation

The Gary and Mary West Foundation

The Colorado Health Foundation

The Marin Community Foundation


National Association of Area Agencies on Aging

Independent Living Research Utilization/National Center for Aging and Disability

American Society on Aging

Partners in Care Foundation

Elder Services of the Merrimack Valley/Healthy Living Center of Excellence.

Learn more about the Aging and Disability Business Institute.

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