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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 346 - 360 of 569

Spotlight E-alert | July 2016
New CMS Proposed Rule Expands Payment for Medicare Physician Services for Patients with Complex Conditions and Restates Ban on Balance Billing for Medicare-Medicaid Enrollee Cost Sharing
ICRC Monthly Newsletter | July 2016
Integrated Care Update - July 12, 2016
Spotlight E-alert | June 2016
Minnesota's Senior Health Options Program Improves Outcomes for Medicare-Medicaid Enrollees
Other Resource | June 2016
Data-Driven Strategies - Analyzing Opt-Outs and Engaging Beneficiaries and Providers
This document describes the process that states and health plans participating in the capitated financial alignment demonstrations use to submit information to CMS' MARx systems. (Centers for Medicare & Medicaid Services)
June 2016
Report to the Congress: Medicare and the Health Care Delivery System -- Chapter 9: Issues Affecting Dual-Eligible Beneficiaries: CMS's Financial Alignment Demonstration and the Medicare Savings Program
This chapter of MedPAC's June 2016 report reviews the progress of the financial alignment demonstrations and analyzes options for Medicare Savings Programs. (Medicare Payment Advisory Commission)
June 2016
Accounting for Social Risk Factors in Medicare Payment: Identifying Risk Factors
This report presents a conceptual social risk factor framework, and details the results of a literature review linking social risk factors to health care outcomes important to Medicare payment and quality programs. (National Academies of Sciences, Engineering, and Medicine)
Spotlight E-alert | May 2016
CMS Medicaid Managed Care Final Rule: Provisions Related to Integrated Programs for Medicare-Medicaid Enrollees
ICRC Monthly Newsletter | May 2016
Integrated Care Update - May 23, 2016
Brief | May 2016
Alternatives to Inpatient Psychiatric Services for Medicare-Medicaid Enrollees: A Case Study of Commonwealth Care Alliance
This brief describes Commonwealth Care Alliance's development of enhanced residential crisis stabilization units that fill a gap in the behavioral health continuum of care available to enrollees in Massachusetts' Medicare-Medicaid… (Integrated Care Resource Center)
ICRC Monthly Newsletter | April 2016
Integrated Care Update - April 4, 2016
Spotlight E-alert | April 2016
New Medicare Advantage Rates and CMS Guidance: Implications for States Seeking to Better Integrate Services for Medicare-Medicaid Enrollees - Final Call
April 2016
Key Components for Successful LTSS Integration: Lessons from Five Exemplar Plans. Working Paper 1: Project to Develop the Business Case for LTSS Integration
This report analyzes the key components that affect integration of medical care and long-term supports and services for Medicaid and Medicare-Medicaid enrollees in managed care plans. (Long-Term Quality Alliance)
Study Hall Call | March 2016
Using Microsoft Access to Simplify Enrollment Reconciliation in Capitated Financial Alignment Demonstrations
This presentation introduces state enrollment staff to a tool to help prioritize transaction reply codes and simplify enrollment reconciliation. (Integrated Care Resource Center)
Study Hall Call | March 2016
Overview of State Considerations for Medicaid Managed Long-Term Services and Supports (MLTSS) Rate Setting
This webinar features an overview of MLTSS rate setting basics, shares initial findings from a project on Medicaid MLTSS rate setting, and also includes a facilitated discussion with an expert actuary and state representatives from Tennessee and… (Integrated Care Resource Center)
Spotlight E-alert | March 2016
Recent Federal Reports and the President's Proposed 2017 Budget