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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.

Displaying 286 - 300 of 326

Brief | March 2014
Assessing Care Integration for Dual-Eligible Beneficiaries: A Review of Quality Measures Chosen by States in the Financial Alignment Initiative
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)
Brief | February 2014
State Approaches to Integrating Physical and Behavioral Health Services for Medicare-Medicaid Beneficiaries: Early Insights
This brief describes early efforts in four states to improve integration of behavioral health services for Medicare-Medicaid beneficiaries. (Center for Health Care Strategies)
January 2014
Evaluating PACE: A Review of the Literature
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)
Webinars and Trainings | October 2013
Three-Way Contracting - The Massachusetts Experience
Study Hall Call | October 2013
Three-Way Contracting - The Massachusetts Experience
In this presentation, CMS and MassHealth staff provide different perspectives on the challenges and successes of the three-way contracting process in Massachusetts, including discussion of managing timeframes and interacting with health plans. (Integrated Care Resource Center)
Webinars and Trainings | May 2013
The Three Way Contract
Brief | April 2013
Options for Attracting and Retaining Enrollment in Financial Alignment Initiatives for Medicare-Medicaid Enrollees
This brief provides suggestions for designing and implementing integrated care initiatives that are of high quality, offer attractive benefits and services, and provide easy-to-understand education, outreach, and marketing information. It also… (Integrated Care Resource Center)
Brief | April 2013
Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
This brief examines key policy and operational considerations related to the transition from fee-for-service to risk-based capitated managed care for LTSS. (Kaiser Family Foundation)
Brief | March 2013
Medicare Part D Prescription Drug Coverage for Medicare-Medicaid Enrollees in the Capitated Financial Alignment Demonstration
This brief provides basic information on Medicare Part D, including how beneficiaries are enrolled in Part D, how Part D drugs are paid for, what drugs are and are not covered in Part D, how drug utilization is managed in Part D, and how the Part D… (Integrated Care Resource Center)
March 2013
Issues in Setting Medicaid Capitation Rates for Integrated Care Plans
Chapter 5 of this report to Congress examines rate setting in capitated integrated care programs including PACE. (Medicaid and CHIP Payment and Access Commission)
Brief | February 2012
Integrating Care for Medicare-Medicaid Enrollees Using a Managed Fee-for-Service Model
This brief reviews primary care case management and related models to gather insights into key program design elements in managed fee-for-service models. (Integrated Care Resource Center)
January 2012
Capitated Financial Alignment Model Plan Guidance
This memo provides guidance to organizations interested in offering capitated financial alignment demonstration plans. (Centers for Medicare & Medicaid Services)
July 2011
State Medicaid Directors' Letter re: Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees
(Centers for Medicare & Medicaid Services)
July 2011
Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees: Frequently Asked Questions
(Centers for Medicare & Medicaid Services)
Technical Assistance Tool
Sample Language for State Medicaid Agency Contracts with Dual Eligible Special Needs Plans (D-SNPs): Cost-Sharing Protections for D-SNP Enrollees
Coming Soon For technical assistance on cost sharing protections language, please contact ICRC at ICRC@mathematica-mpr.com (Integrated Care Resource Center)