Displaying 1 - 20 of 26

Medicare-Medicaid Integrated Care Programs

Curates evidence behind three fully integrated care program models for people who are dually eligible for Medicare and Medicaid, as well as practical strategies that support effective implementation of these programs.

Collection

December 2023

Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals

Fully integrated dual-eligible special needs plans increase the use of home- and community-based services, but have limited impact on inpatient and emergency department visits and length of nursing home stays.

Peer-Reviewed Article

December 2023

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 Formal Framework for Incorporating Equity into Health Care Quality Measurement

Using “equity weighting” may improve quality measurement efforts intending to advance health equity for underserved groups.

Peer-Reviewed Article

October 2023

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Peer-Reviewed Article

September 2023

How One Health Plan Reduced Disparities in Medication Adherence

One health plan’s approach to addressing racial and ethnic disparities in medication adherence rates offers insights on levers to address racial inequities.

Case Example

July 2022

Serious Illness Strategies: Driving Value in High-Need Populations

This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Implementation Tool

February 2022

The Arizona Coalition Model: Home- and Community-Based Palliative Care for the Seriously Ill

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

Implementation Tool

January 2022

Health Care and Community-Based Organization Partnerships to Address Social Needs: Medicare Advantage Plan Representatives' Perspectives

Medicare Advantage plans report different barriers to partnering with community-based organizations, but there are strategies to develop effective partnerships.

Peer-Reviewed Article

April 2021

Aligning Medicaid and Medicare Advantage Managed Care Plans for Dual-Eligible Beneficiaries

Aligned D-SNP enrollment was associated with more efficient service use among some dually eligible beneficiaries.

Peer-Reviewed Article

April 2021

Medicare Advantage Plans Offering Expanded Supplemental Benefits: A Look at Availability and Enrollment

Analysis of recent and projected growth of expanded supplemental benefits offered by Medicare Advantage plans — such as meals, transportation, and in-home support services.

Brief/Report

February 2021

Providing Non-Medical Supplemental Benefits in Medicare Advantage

Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.

Brief/Report

November 2020

Sustainable Financing of Community Health Worker Employment

A comprehensive overview of different funding approaches to sustainably finance CHW programs.

Brief/Report

July 2020

Serving People with Severe Mental Illness who are Dually Eligible for Medicare and Medicaid

Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.

Peer-Reviewed Article

June 2020

Integrating Care for Dually Eligible Beneficiaries: Policy Issues and Options

Details the landscape of integrated care models and identifies policy recommendations to increase the availability of integrated care for dually eligible individuals.

Brief/Report

June 2020

Medicare Advantage Supplemental Benefit Flexibilities: Adoption of and Access to Newly Expanded Supplemental Benefits in 2020

Analysis of expanded supplemental benefit adoption for Medicare Advantage enrollees

Brief/Report

May 2020

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

Effects of a Population Health Community-Based Palliative Care Program on Cost and Utilization

A community-based palliative care program reduced medical costs, intensive care unit (ICU) admissions, hospital admissions, and days spent in the hospital for Medicare Advantage members with serious illness.

Peer-Reviewed Article

September 2019

Designing and Implementing Home-Based Palliative Care: A Guide for Payers

A practical guide for payers to create a home-based palliative care program centered upon a value-based case example from a payer’s perspective.

Implementation Tool

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

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Medicare-Medicaid Integrated Care Programs

Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals

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

A Formal Framework for Incorporating Equity into Health Care Quality Measurement

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

How One Health Plan Reduced Disparities in Medication Adherence

Serious Illness Strategies: Driving Value in High-Need Populations

The Arizona Coalition Model: Home- and Community-Based Palliative Care for the Seriously Ill

Health Care and Community-Based Organization Partnerships to Address Social Needs: Medicare Advantage Plan Representatives' Perspectives

Aligning Medicaid and Medicare Advantage Managed Care Plans for Dual-Eligible Beneficiaries

Medicare Advantage Plans Offering Expanded Supplemental Benefits: A Look at Availability and Enrollment

Providing Non-Medical Supplemental Benefits in Medicare Advantage

Sustainable Financing of Community Health Worker Employment

Serving People with Severe Mental Illness who are Dually Eligible for Medicare and Medicaid

Integrating Care for Dually Eligible Beneficiaries: Policy Issues and Options

Medicare Advantage Supplemental Benefit Flexibilities: Adoption of and Access to Newly Expanded Supplemental Benefits in 2020

The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

Effects of a Population Health Community-Based Palliative Care Program on Cost and Utilization

Designing and Implementing Home-Based Palliative Care: A Guide for Payers

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