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 report compares utilization of community-based services by dually eligible beneficiaries enrolled in a fully integrated managed care program to those of beneficiaries receiving Medicare and Medicaid services from separate delivery systems.… (Office of the Assistant Secretary for Planning and Evaluation [ASPE])
This report provides preliminary data for the first 18 months of Washington's managed fee-for-service demonstration. It includes a description of the demonstration model, preliminary findings on eligibility and enrollment in the demonstration,… (RTI International)
This evaluation of the second year of the Initiative reports rates of all-cause hospitalizations and potentially avoidable hospitalizations, as well as Medicare expenditures for participating sites relative to a comparison group.
(RTI International)
This presentation describes the new Medicare hospice payment rules and system updates that states will need to make to comply with the rules.
(Centers for Medicare & Medicaid Services)
This report describes early implementation activities occurring in the first six months of the seven financial alignment demonstrations launched as of May 1, 2014.
(RTI International)
In these videos, consumers enrolled in the One Care demonstration describe how the program has benefitted them.
(Massachusetts Executive Office of Health and Human Services | Medicaid and CHIP Payment and Access Commission (MACPAC))
This report describes beneficiary experiences with enrollment processes, communication about the model of care, and understanding of care coordination services under the capitated model financial alignment demonstrations.
(Medicaid and CHIP Payment and Access Commission)
This resource describes strategies used to communicate with consumers of California's In-Home Supportive Services program about the Cal MediConnect demonstration.
(Personal Assistance Services Council of Los Angeles County)
This toolkit provides resources to help health plans and providers engage consumer around the development of integrated care programs.
(Community Catalyst)