Medicare Care Choices Model Improved End-of-Life Care, Lowered Medicare Expenditures, and Increased Hospice Use

Medicare model allowing concurrent coverage of hospice care and treatment improves end-of-life care and reduces total costs.

Peer-Reviewed Article

November 2023

A Clinical Pathway to Well-Being: Putting Patient Priorities at the Center of Care

A care management model designed to center patients’ health priorities shows promising results.

Peer-Reviewed Article

October 2023

Measuring Quality in Home and Community Based Services (HCBS): Key Considerations for Health Plans

Guidance for health plans for improving quality of home- and community-based services.

Implementation Tool

December 2022

Integrating Care for Dually Eligible Beneficiaries: Background and Context

Summarizes the characteristics of dually eligible individuals, integrated care models, and available evidence on the impact of these models.

Brief/Report

June 2020

Starting from Square One: Considerations for States Exploring Medicare-Medicaid Integration

Poses key questions to help states new to Medicare-Medicaid integration assess readiness for integration and select an achievable integration approach.

Brief/Report

May 2020

The New Post-Acute Care Management Solution for Complex Care Patients

Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.

Blog

November 2019

The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

Highlights early findings demonstrating that Medicare-Medicaid integration can improve beneficiary experience and health outcomes, increase program efficiencies, and improve Medicaid program management.

Brief/Report

November 2019

Special Needs Plans: A Primer on I-SNPs

Provides an overview on Special Needs Plans (SNPs), a type of Medicare Advantage plan for individuals with special needs, the types of SNPs serving different populations, and how SNPs serving institutionalized individuals are unique.

Blog

July 2019

A Turning Point in Medicare Policy: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill

How to implement the new Medicare benefits.

Implementation Tool

July 2019

Are Medicare Advantage Plans Using New Supplemental Benefit Flexibility to Address Enrollees’ Health-Related Social Needs?

Multiple factors, including geographic variation in available resources, may limit take-up among MA plans of new benefit flexibilities.

Brief/Report

January 2019

Effects of Integrating Care for Medicare-Medicaid Dually Eligible Seniors in Minnesota

Examines the potential for Minnesota’s integrated care model to lower use of hospital care and increase use of primary care and community-based services for dually eligible older adults.

Peer-Reviewed Article

July 2018

Comparing Care for Dual-Eligibles across Coverage Models: Empirical Evidence from Oregon

Explores different characteristics of dually eligible individuals that have different coverage types, as well as the impact of aligned Medicare and Medicaid benefits to improve quality of care and utilization outcomes.

Peer-Reviewed Article

November 2017

State Strategies: Value-Based Payment for Medicaid Populations with Complex Care Needs

This brief describes Medicaid payment reform strategies for long-term services and support.

Brief/Report

April 2017

The ‘One Care’ Program at Commonwealth Care Alliance: Partnering with Medicare and Medicaid for Dual Eligibles

Examines a unique program that seeks to integrate medical, behavioral health, and social services for dual eligible individuals with serious mental illnesses, substance abuse problems, or disabilities.

Case Example

December 2016

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Medicare Care Choices Model Improved End-of-Life Care, Lowered Medicare Expenditures, and Increased Hospice Use

A Clinical Pathway to Well-Being: Putting Patient Priorities at the Center of Care

Measuring Quality in Home and Community Based Services (HCBS): Key Considerations for Health Plans

Integrating Care for Dually Eligible Beneficiaries: Background and Context

Starting from Square One: Considerations for States Exploring Medicare-Medicaid Integration

The New Post-Acute Care Management Solution for Complex Care Patients

The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

Special Needs Plans: A Primer on I-SNPs

A Turning Point in Medicare Policy: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill

Are Medicare Advantage Plans Using New Supplemental Benefit Flexibility to Address Enrollees’ Health-Related Social Needs?

Effects of Integrating Care for Medicare-Medicaid Dually Eligible Seniors in Minnesota

Comparing Care for Dual-Eligibles across Coverage Models: Empirical Evidence from Oregon

State Strategies: Value-Based Payment for Medicaid Populations with Complex Care Needs

The ‘One Care’ Program at Commonwealth Care Alliance: Partnering with Medicare and Medicaid for Dual Eligibles