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

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.

Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.

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

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

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

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

Multiple factors, including geographic variation in available resources, may limit take-up among MA plans of new benefit flexibilities.

How to implement the new Medicare benefits.

How home visits are used by ACOs to improve care, lower costs.

A tool for assessing readiness for value-based partnerships.

This resources describes the competencies organizations need to transition to value-based payment.

Case studies of two community hospitals show how to advance accountable care.

ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending.

This brief describes Medicaid payment reform strategies for long-term services and support.