Resources

Leadership from the California Community Foundation and Southside Coalition of Community Health Centers explore their health information exchange pilot.
The COVID-19 pandemic has profoundly affected individuals who are dually eligible for Medicare and Medicaid, many of whom have risk factors for adverse COVID-19 related outcomes. These individuals...
Many dually eligible individuals receive Medicare and Medicaid benefits that are not coordinated, which can result in fragmented care and poor health outcomes. Only 10 percent of dually eligible...
Since Medicare and Medicaid are two separate systems that were not designed to work together, people who are dually eligible often experience fragmented care, resulting in worse health outcomes and...
Food insecurity is associated with poor health and increased health care costs, a trend that particularly salient among individuals who are dually eligible for Medicare and Medicaid. This study...
Managed care plans that integrate Medicare and Medicaid services have the potential to improve quality and reduce spending for dually eligible enrollees. Medicare Advantage (MA) dual-eligible special...
Dually eligible individuals with serious mental illness (SMI) — who represent one third of all dual eligibles under age 65 — have complex needs that are challenging to address in a coordinated manner...
For the past decade, policymakers have sought to improve the integration of Medicare and Medicaid for individuals who are eligible for both programs. While many states are pursuing new opportunities...
States have many different options to improve integration, alignment, or coordination of Medicare and Medicaid for individuals who are dually eligible for both programs. It can be difficult for states...
Care managers (also referred to as case managers, care coordinators, and service coordinators) are critically important to the success of health plans that integrate care for dually eligible...
Medicare-Medicaid Plans (MMPs) in states participating in the CMS Medicare-Medicaid Financial Alignment Initiative (FAI) capitated model demonstrations are required to create Consumer Advisory...
Value-based payment programs link reimbursement to performance on quality and cost measures, but these programs may disadvantage providers that care for populations living in poverty or in under...