States seeking to integrate Medicare and Medicaid services for dually eligible beneficiaries need to consider a variety of issues in program design and implementation such as incorporating behavioral health and long-term services and supports, consumers and providers engagement, and linking Medicare and Medicaid data. Use the filter below to view resources related to these and other topics.
This brief examines how star rating are calculated and considerations around how differences among beneficiary populations should be recognized.
(National Health Policy Forum)
This webinar explores Medicare Advantage plans' experience with the Star Ratings system, considers whether the system has served to drive quality improvement, how accurately it reflects plan management of quality and service, and what might… (National Health Policy Forum)
This fact sheet provides a comprehensive description of One Care, Massachusetts' demonstration project for adults with disabilities between the ages of 21 and 64 who are dually eligible for Medicare and Medicaid.
(Massachusetts Medicaid Policy Institute)
This report offers recommendations for developing risk adjustment and rate-setting mechanisms to reinforce the goals of care integration.
(Massachusetts Medicaid Policy Institute)