What Works to Improve Care for Dual Eligible Individuals: An Evidence and Resource Review

Explores the Better Care Playbook's set of curated resources that can assist health plans, policymakers, and providers in understanding the evidence behind integrating care for individuals dually eligible for Medicare and Medicaid.

Blog

January 2021

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

January 2021

A Pathway to Full Integration of Care for Medicare-Medicaid Beneficiaries

Recommended care models and policies to improve integrated care for dually eligible individuals at the state level.

Brief/Report

July 2020

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

February 2015

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

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

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

December 2019

Integrated Care Programs for Dually Eligible Individuals in the Era of COVID-19: Response Efforts and Policy Recommendations

Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.

Brief/Report

September 2020

The Biggest Value is Getting the Voice of the Member: An Exploration of Consumer Advisory Councils within Medicare-Medicaid Plans Participating in the Financial Alignment Initiative

Provides lessons on the function and impact of health plan Consumer Advisory Councils from Medicare-Medicaid Plans in capitated model demonstrations under the Financial Alignment Initiative.

Brief/Report

January 2019

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

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

State Pathways to Integrated Care: Exploring Options for Medicare-Medicaid Integration

Outlines steps states can take to advance Medicare-Medicaid integration depending on policy goals, internal capacity, and delivery system structures.

Implementation Tool

April 2019

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

April 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

Evaluations of Integrated Care Models for Dually Eligible Beneficiaries: Key Findings and Research Gaps

Summarizes evidence on how integrated care models affect health and cost outcomes for dually eligible beneficiaries.

Brief/Report

August 2020

High-Cost Dual Eligibles' Service Use Demonstrates the Need for Supportive and Palliative Models of Care

Describes the needs of distinct subpopulations within the dually eligible population with highly complex needs, along with opportunities for tailored interventions that may reduce health care spending.

Peer-Reviewed Article

July 2017

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

The PACE Response to COVID-19 Calls for Policy Actions Increasing Access and Affordability

Highlights PACE programs’ efforts to redesign care during the COVID-19 pandemic and presents policy options that may help to expand access to the programs in the future.

Blog

October 2020

Caring for Older Adults with Complex Needs in the COVID-19 Pandemic: Lessons from PACE Innovations

Highlighted innovations adopted by PACE organizations during the pandemic to provide care for older adults with complex needs.

Webinar

June 2020

Integrating Care for Dually Eligible Individuals Matters Even More in the Face of COVID-19

Melanie Bella, former director of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services, explores implications of COVID-19 to influence the future landscape for integrating Medicare and Medicaid services.

Blog

May 2020

All Resources

All Resources

Topics

Populations

Stakeholders

Content Types

What Works to Improve Care for Dual Eligible Individuals: An Evidence and Resource Review

Medicare-Medicaid Integration: A Reference Guide to Emerging Evidence and Technical Assistance Tools

A Pathway to Full Integration of Care for Medicare-Medicaid Beneficiaries

Strategies for Hiring and Training Care Managers in Integrated Programs Serving Medicare-Medicaid Beneficiaries

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

Integrating Care for Dually Eligible Beneficiaries: Policy Issues and Options

Promoting Integration in Dual-Eligible Special Needs Plans

Integrated Care Programs for Dually Eligible Individuals in the Era of COVID-19: Response Efforts and Policy Recommendations

The Biggest Value is Getting the Voice of the Member: An Exploration of Consumer Advisory Councils within Medicare-Medicaid Plans Participating in the Financial Alignment Initiative

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

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

State Pathways to Integrated Care: Exploring Options for Medicare-Medicaid Integration

The Role of Social, Cognitive, and Functional Risk Factors in Medicare Spending for Dual and Nondual Enrollees

The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

Evaluations of Integrated Care Models for Dually Eligible Beneficiaries: Key Findings and Research Gaps

High-Cost Dual Eligibles' Service Use Demonstrates the Need for Supportive and Palliative Models of Care

Integrating Care for Dually Eligible Beneficiaries: Background and Context

The PACE Response to COVID-19 Calls for Policy Actions Increasing Access and Affordability

Caring for Older Adults with Complex Needs in the COVID-19 Pandemic: Lessons from PACE Innovations

Integrating Care for Dually Eligible Individuals Matters Even More in the Face of COVID-19