Poses key questions to help states new to Medicare-Medicaid integration assess readiness for integration and select an achievable integration approach.
Health homes may increase access to mental health care and substance use disorder treatment in Medicaid enrollees with serious mental illness and/or substance use disorders.
The Independence at Home demonstration showed mixed results for Medicare savings and utilization, but participating patients and caregivers reported high satisfaction with the home-based primary care that they received.
Among high-cost Medicare enrollees, those who are seriously ill, frail, and/or had a serious mental illness experience the most potentially preventable spending.
Virginia’s comprehensive Medicaid reform for substance use treatment services led to an increase in outpatient and community-based treatment and a decrease in emergency department and inpatient use among beneficiaries with opioid use disorder.