Resources

While Medicare Advantage (MA) plans have new flexibility to target and cover supplemental benefits that address health-related social needs, few plans provided these types o

This resource analyzes preventable ED visits and identifies mechanisms for preventing them.

This resource describes four care management models that ACOs are using for individuals with complex needs.

This resource describes the findings from a symposium called “The Dual Imperative: What’s Next for Medicare-Medicaid Enrollees,” which brought together policymakers, consume

This resource describes the strategies employed by ACOs that have comprehensive care management programs for complex patients.

This report recommends policy changes so that Medicare can pay for non-medical supports and services, such as meal delivery, transportation, and case management, to improve outcomes and lower costs

This resource analyzes a number of specific care models that serve Medicare-only individuals and enumerates five main policy barriers and potential strategies to address these barriers.  

This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients.

This resource examines reimbursement structures that serve beneficiaries who are dually eligible for Medicare and Medicaid.

This resource reviews emerging payer and provider partnerships that incentivize value-based payment models. Key points and recommendations include:

This resource offers recommendations for federal policymakers to help finance LTSS, the clinical and social services that assist individuals with limited ability to care for themselves.

There is currently no single statement of what a delivery system must have to effectively serve adults with complex care needs.