Use Case A long-standing client asked the Change Healthcare Consulting team for advice on implementing a new model of care for its dual-eligible special needs plan (D-SNP) line of business. D-SNP is a government programs plan for members who are eligible for both Medicare and Medicaid. A model of care outlines how a plan will case-manage and coordinate care for this vulnerable population, with the goal of improving health outcomes. The Midwestern payer previously outsourced its model of care activities to a vendor, but asked the consulting team to properly bring these activities in-house within a short timeframe. The client needed a variety of services, including system customization; extensive testing; policies and procedures (P&P) development; staff onboarding and training

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