Tailored Plans and Tailored Care Management for PCPs and Specialists

Tailored Plans (TP) and Tailored Care Management (TCM) for Primary Care Providers (PCP) and Specialty Providers

Thursday, June 27 | 5:30-7 p.m.

TP and TCM play crucial roles in providing comprehensive healthcare services to members. With TP launch scheduled for July 1, 2024, this course aims to equip PCPs and specialty providers with the necessary knowledge and understanding of TP and TCM, enabling them to deliver and coordinate enhanced care to their patients.

Learning Objectives

1. Define TP and explore eligibility criteria.
2. Understand the process and implications of members transitioning between TP and Standard Plans (SP).
3. Explore the relationship between TCM and TP.
4. Define TCM and identify its benefits for members.
5. Discuss TCM eligibility criteria and the process of opting in or giving consent to participate and how to identify TCM members from the enrollee report.
6. Examine how TCM benefits PCPs and specialty providers by extending care for patients.