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

Details the landscape of integrated care models and identifies policy recommendations to increase the availability of integrated care for dually eligible individuals.

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

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.

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.

Poses key questions to help states new to Medicare-Medicaid integration assess readiness for integration and select an achievable integration approach.

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

Details how dually enrolled beneficiaries have significantly higher levels of comorbidities and higher costs of care than their non-dually enrolled counterparts.

Highlights early findings demonstrating that Medicare-Medicaid integration can improve beneficiary experience and health outcomes, increase program efficiencies, and improve Medicaid program management.

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

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.

Summarizes the characteristics of dually eligible individuals, integrated care models, and available evidence on the impact of these models.

Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.

Details funding opportunities and successful approaches in the adoption of evidence-based health promotion and disease prevention programs within community-based organizations.

Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

The proportion of low-income, frail, and medically complex individuals enrolled in Medicare Advantage is increasing.

Adults with complex, high-cost health care needs are more likely to have experienced social adversity in childhood and adulthood.

Integrating medical, behavioral health, and social services data tells a fuller story of frequent emergency department users’ service utilization and may identify candidates for care coordination.

Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.