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The Dual Enrolled as a Disadvantaged Population: Developing Culturally Informed Interventions for Tennessee Medicare/Medicaid Women

JHHSA, Vol. 26 No. 3, (2003)

The Centers for Medicare and Medicaid Services (CMS) have begun a
major national initiative to reduce disparities in health care for the
underserved through their contracts with state quality improvement
organizations (QIOs). This initiative has translated into state-level
projects that are, in many cases, investigating these populations to
determine how best to address their health care deficiencies and
improve the quality of their care. Tennessee’s campaign, coordinated
by the Center for Healthcare Quality (CHQ), the state’s QIO, focused
on the use of formative research to gain insights into diversity among
the underserved in different settings across the state. Results aided the
design of a series of site-appropriate interventions aimed at improving
the utilization of mammography screening among Tennessee’s Dual
Enrolled: Medicare beneficiaries who are also enrolled in Medicare.

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