Dual-eligible beneficiaries are among the most expensive and complex patients out there. The costliest 5% of dual-eligibles drive more than 40% of Medicare spend. But addressing their medical, behavioral and social needs is far from simple. Community-based organizations could use extra help. 

From coordinating billing to telemedicine to care navigation, Pair Team claims to offer just that. It does so through California's Medi-Cal Community Care Hubs model. To break this down, Senior Writer Anastassia Gliadkovskaya talks to Nate Favini, Pair Team’s chief medical officer.  

Then, she connects with Christian Curby, executive director of Turlock Gospel Mission, a nonprofit in California’s Central Valley partnering with Pair Team to support people without housing. 

To learn more about the topics in this episode: 
Policy report on improving care for disadvantaged youth in LA stresses collaboration
Socially Determined's platform now stratifies social risks for minors
New Unite Us-driven payments pilot to reimburse social service organizations in Brooklyn

This episode is sponsored by Optum Rx. Learn more.

Dual-eligible beneficiaries are among the most expensive and complex patients out there. The costliest 5% of dual-eligibles <a href="https://www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/June04_ch3.pdf">drive </a>more than 40% of Medicare spend. But addressing their medical, behavioral and social needs is far from simple. Community-based organizations could use extra help.&nbsp;
From coordinating billing to telemedicine to care navigation, Pair Team claims to offer just that. It does so through California's Medi-Cal Community Care Hubs model. To break this down, Senior Writer Anastassia Gliadkovskaya talks to Nate Favini, Pair Team&rsquo;s chief medical officer.&nbsp;&nbsp;
Then, she connects with Christian Curby, executive director of Turlock Gospel Mission, a nonprofit in California&rsquo;s Central Valley partnering with Pair Team to support people without housing.&nbsp;
To learn more about the topics in this episode:&nbsp;
<ul>
<li><a href="https://www.fiercehealthcare.com/providers/la-care-health-plan-childrens-hospital-la-team-new-policy-report">Policy report on improving care for disadvantaged youth in LA stresses collaboration</a></li>
<li><a href="https://www.fiercehealthcare.com/health-tech/socially-determineds-platform-now-stratifies-social-risk-minors">Socially Determined's platform now stratifies social risks for minors</a></li>
<li><a href="https://www.fiercehealthcare.com/health-tech/new-unite-us-driven-payments-solution-social-service-organizations-brooklyn">New Unite Us-driven payments pilot to reimburse social service organizations in Brooklyn</a></li>
</ul>
This episode is sponsored by Optum Rx. <a href="https://ad.doubleclick.net/ddm/clk/608177016;413236643;d;gdpr=$%7BGDPR%7D;gdpr_consent=$%7BGDPR_CONSENT_755%7D">Learn more</a>.

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Podnosis

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

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