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 presentation highlights new data, promising care delivery models, and policies intended to support integrated medical care, behavioral health care, and long-term services and supports for Medicare beneficiaries with serious mental illness.
(The SCAN Foundation)
This report examines how five states have structured the interface between MFP demonstration grants and Managed long-term services and supports (MLTSS) programs to promote transitions from institutional care to home- and community-based settings.
(Mathematica)
This policy brief summarizes the terms of Massachusetts' MOU in the several key areas, including enrollment, care delivery model, benefits, financing, beneficiary protections and monitoring and evaluation.
(Kaiser Family Foundation)
This presentation describes California's current stakeholder engagement process, plans for on-going advisory groups, and ways to solicit on-going feedback.
(California Department of Health Care Services)
This report examines the implementation of the expansion of California's Medicare managed care population to include seniors and people with disabilities.
(California Health Care Foundation)
This report examines the contract requirements adopted by Medi-Cal, including a comparison with contracting recommendations made through an earlier multi-stakeholder collaborative process, and the state's rationale for contracting decisions.
(California HealthCare Foundation)
This study examines how eight state Medicaid agencies, experienced in overseeing these programs, monitor the performance of plan contractors to ensure they provide optimal care to enrollees.
(AARP Public Policy Institute)
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)
Meeting Agenda, Timeline, Map of Health Plan Options by County, Reimbursement Rates, Performance Measurement, Enrollment Data, Health Plan Presentations: PrimeWest, Cornerstone, UCare, South Country Health Alliance, Medica.
(Minnesota Department of Human Services)
This report offers recommendations for developing risk adjustment and rate-setting mechanisms to reinforce the goals of care integration.
(Massachusetts Medicaid Policy Institute)
This United Hospital Fund report focuses on measuring quality of care for Medicaid beneficiaries with complex needs, including those with multiple chronic conditions, behavioral health conditions, and long-term care needs, including dual eligibles.
(United Hospital Fund)
This report provides an overview of the LTQA Quality Measurement Workgroup's approach to identifying and disseminating quality measures for long-term services and supports that promote effective care transitions, improve health and quality of… (Long-Term Quality Alliance)
This presentation explores options for integrating physical and behavioral health services within coordinated delivery systems and how three states - Arizona, Tennessee, and Vermont - are approaching integration from different vantage points.
(Center for Health Care Strategies)