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
Subtopics
Cross-Referenced Topics
Populations
Audiences
Content Types
State
Displaying 21 - 36 of 36
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
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
As It Grows, Medicare Advantage Is Enrolling More Low-Income and Medically Complex Beneficiaries
The proportion of low-income, frail, and medically complex individuals enrolled in Medicare Advantage is increasing.
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
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
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
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
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
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
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
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
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
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
Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients
Analysis of care models that serve Medicare-only individuals detailing policy barriers to providing uncovered services and supports and proposed strategies to address them.
Brief/Report
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
Subtopics
Cross-Referenced Topics
Populations
Audiences
Content Types
State
Displaying 21 - 36 of 36
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
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
As It Grows, Medicare Advantage Is Enrolling More Low-Income and Medically Complex Beneficiaries
The proportion of low-income, frail, and medically complex individuals enrolled in Medicare Advantage is increasing.
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
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
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
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
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
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
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
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
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
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
Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients
Analysis of care models that serve Medicare-only individuals detailing policy barriers to providing uncovered services and supports and proposed strategies to address them.
Brief/Report
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