Lessons Learned from the Transition from Volume to Value
Describes factors that support health care organizations in transitioning from volume- to value-based payment.
Peer-Reviewed Article
All Resources
All Resources
Topics
Populations
Stakeholders
Content Types
Medicare-Medicaid Integration: A Reference Guide to Emerging Evidence and Technical Assistance Tools
This reference guide summarizes a set of curated resources to help key stakeholders better understand both the needs of the dually eligible population and emerging evidence and practical approaches for advancing Medicare-Medicaid integration.
Implementation Tool
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
Strategies for Hiring and Training Care Managers in Integrated Programs Serving Medicare-Medicaid Beneficiaries
Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.
Implementation Tool
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
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
Promoting Integration in Dual-Eligible Special Needs Plans
Identifies policy opportunities to improve the level of Medicare-Medicaid integration in dual-eligible special needs plans.
Brief/Report
The Role of Social, Cognitive, and Functional Risk Factors in Medicare Spending for Dual and Nondual Enrollees
Details how dually enrolled beneficiaries have significantly higher levels of comorbidities and higher costs of care than their non-dually enrolled counterparts.
Peer-Reviewed Article
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
Providing Non-Medical Supplemental Benefits in Medicare Advantage
Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.
Brief/Report
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
Health Care Spending and Use Among People Experiencing Unstable Housing in the Era of Accountable Care Organizations
Individuals experiencing homelessness had health care spending 2.5 times higher than the comparison Medicaid population.
Peer-Reviewed Article
ACO Serious Illness Care: Survey and Case Studies Depict Current Challenges and Future Opportunities
How ACOs are addressing serious illness.
Peer-Reviewed Article
Health Care Transformation Task Force Value Partnership Evaluation Tool
A tool for assessing readiness for value-based partnerships.
Implementation Tool
Innovations in Medicare Advantage to Improve Care for Seriously Ill Patients
This resource describes how MA could lead the way in diffusing new care and payment models.
Brief/Report
Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals
Case studies of two community hospitals show how to advance accountable care.
Case Example
CareMore: Improving Outcomes and Controlling Health Care Spending for High-Needs Patients
CareMore’s business model identifies high-risk patients and surrounds them with coordinated services
Case Example
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
Payment to Promote Sustainability of Care Management Models for High-Need, High-Cost Patients
Provider incentives must be based on Triple Aim outcomes.
Brief/Report
Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries
By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.
Case Example