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 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 brief examines how star rating are calculated and considerations around how differences among beneficiary populations should be recognized.
(National Health Policy Forum)
This presentation highlights tips for engaging providers throughout the design and implementation of integrated care programs; describes Virginia's approach to provider engagement for its financial alignment demonstration; and includes an… (Integrated Care Resource Center)
This webinar summarizes a discussion among states, the Centers for Medicare & Medicaid Services, the National Association of Medicaid Directors, and ICRC about Medicare Advantage Dual Eligible Special Needs Plan contract oversight and quality… (Integrated Care Resource Center)
This document summarizes a telephone discussion among states, CMS, the National Association of Medicaid Directors, and ICRC about Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) contract oversight and quality monitoring procedures.
(Integrated Care Resource Center)
This brief provides tips to help states engage providers in designing, implementing, and overseeing a managed care delivery system for individuals with complex care needs.
(Center for Health Care Strategies)
This brief reviews the quality measures chosen by eight states taking part in CMS' capitated model financial alignment demonstrations as of December 2013.
(The Commonwealth Fund)
This reports outlines a strategy or "roadmap" for evaluating the quality and person-centeredness of integrated care.
(National Committee for Quality Assurance)
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)