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 presents information on the frailty level, access to care, and the quality of care of PACE participants enrolled with for-profit PACE organizations as compared to not-for-profit PACE organizations and is based on the <a href="… (Centers for Medicare & Medicaid Services)
This report examines the effects of PACE on Medicare and Medicaid expenditures, use of nursing facility use, and mortality.
(Assistant Secretary for Planning and Evaluation)
The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) provides all Medicare and Medicaid enrollment and claims data for dually eligible beneficiaries. This comprehensive suite of annual, calendar year data files contains Medicare… (ResDAC)
This report uses existing evaluations of PACE to summarize the available evidence on the effect of PACE on: Medicare and Medicaid costs; hospital and nursing facility use; quality of care, satisfaction and quality of life; and mortality.
(Assistant Secretary for Planning and Evaluation)
This toolkit provides a practical guide to collecting, validating, and reporting Medicaid managed care encounter data and is designed as a guide for state Medicaid staff responsible for managing the daily operations involved in encounter data, as… (Mathematica)
This brief examines how states will need to build their information systems and internal capacity for data analysis as they pursue integrated care programs for Medicare-Medicaid enrollees.
(Center for Health Care Strategies)
Chapter 5 of this report to Congress examines rate setting in capitated integrated care programs including PACE.
(Medicaid and CHIP Payment and Access Commission)
This webpage provides information for state Medicaid agencies and state administering agencies about operating PACE programs.
(Centers for Medicare & Medicaid Services)
This webpage provides a general overview of PACE and links to more information for individuals, states, and PACE programs.
(Centers for Medicare & Medicaid Services)