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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 511 - 525 of 569

July 2012
Development of Quality Indicators for the Home and Community-Based Services Population: Technical Report
This report details development of quality indicators for individuals receiving home- and community-based services. (Agency for Healthcare Research and Quality)
Brief | June 2012
Low-Cost, Low-Administrative Burden Ways to Better Integrate Care for Medicare-Medicaid Enrollees
This brief discusses concrete, actionable steps that states can take to move toward more integrated care for Medicare-Medicaid enrollees. (Integrated Care Resource Center)
May 2012
State Demonstration to Integrate Care for Dual Eligible Individuals - Demonstration Proposal
May 2012
Duals Digest: A Newsletter about Arizonans with Medicare and Medicaid.
Brief | May 2012
Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services
This brief discusses strategies for structuring rates for managed long-term services and supports programs to encourage the use of home- and community-based services and details states experiences in setting rates for these programs. (Center for Health Care Strategies)
April 2012
Outcomes of Stakeholder Input on Proposed Alignment of Medicare and Medicaid Services.
Other Resource | April 2012
Massachusetts One Care Initiative for Non-elderly Dual Eligibles
This fact sheet provides a comprehensive description of One Care, Massachusetts' demonstration project for adults with disabilities between the ages of 21 and 64 who are dually eligible for Medicare and Medicaid. (Massachusetts Medicaid Policy Institute)
Brief | April 2012
An Update on CMS's Capitated Financial Alignment Demonstration Model for Medicare-Medicaid Enrollees
This policy brief describes the capitated financial alignment demonstration model, including information on financing, enrollment, provider network adequacy, medical necessity determinations, appeals, and quality and oversight. (Kaiser Family Foundation)
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)
Brief | February 2012
People with Disabilities and Medicaid Managed Care: Key Issues to Consider
This brief examines issues in the development and implementation of managed care programs for Medicaid beneficiaries with disabilities, particularly policy considerations related to setting rates, developing provider networks and delivery systems,… (Kaiser Family Foundation)
February 2012
Guiding Principles: Successfully Enrolling People with Disabilities in Managed Care Plans
This document articulates guiding principles that should be observed in designing and carrying out managed care initiatives involving people with chronic disabilities. (National Council on Disability)
February 2012
Analysis and Recommendations for the Implementation of Managed Care in Medicaid and Medicare Programs for People with Disabilities
This document assesses the impact of managed care on people with disabilities to identify the opportunities/risks and strengths/weaknesses of pursuing managed care as a component of health care reform. (National Council on Disability)
Other Resource | January 2012
Risk Adjustment for Dual Eligibles: Breaking New Ground in Massachusetts
This report offers recommendations for developing risk adjustment and rate-setting mechanisms to reinforce the goals of care integration. (Massachusetts Medicaid Policy Institute)
Other Resource | January 2012
Managed Care for People with Disabilities Stakeholder Meeting
Meeting Agenda, Timeline, Map of Health Plan Options by County, Reimbursement Rates, Performance Measurement, Enrollment Data, Health Plan Presentations: PrimeWest, Cornerstone, UCare, South Country Health Alliance, Medica. (Minnesota Department of Human Services)
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)