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 brief examines how star rating are calculated and considerations around how differences among beneficiary populations should be recognized.
(National Health Policy Forum)
This report describes beneficiary experiences with enrollment processes, communication about the model of care, and understanding of care coordination services under the capitated model financial alignment demonstrations.
(Medicaid and CHIP Payment and Access Commission)
This brief outlines the options available to states in both capitated and fee-for-service arrangements to reduce avoidable hospitalizations from nursing facilities.
(Integrated Care Resource Center)
This resource describes strategies used to communicate with consumers of California's In-Home Supportive Services program about the Cal MediConnect demonstration.
(Personal Assistance Services Council of Los Angeles County)
This toolkit provides resources to help health plans and providers engage consumer around the development of integrated care programs.
(Community Catalyst)
This tool will be used by CMS to perform compliance reviews on state Home and Community Based Services (HCBS) Transition Plans.
(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)
This video for potential Cal MediConnect enrollees shows what the passive enrollment letters and envelopes look like, guides beneficiaries through their enrollment options, explains integrated care, benefit of care coordinators care teams, and the… (California Department of Health Care Services)
This presentation highlights the ICRC technical assistance tool State Contracting with Medicare Advantage Dual Eligible Special Needs Plans: Issues and Options and features a moderated panel discussion among representatives of three states (… (Integrated Care Resource Center)
This brief shares strategies for hiring and training care managers for health plans with integrated care programs serving Medicare-Medicaid beneficiaries.
(Center for Health Care Strategies)
This document summarizes key discussions during a roundtable with a group of federal and state officials and other experts on issues related to how rebalancing progress in capitated Medicaid MLTSS programs is measured.
(Kaiser Family Foundation)