Displaying 1 - 20 of 30

The People Say

Website offers a qualitative database of personal narratives to support providers and policymakers in designing policies that better reflect the lived experience, needs, and priorities of older adults.

Implementation Tool

August 2025

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

A post-hospitalization supplemental home-delivered meals benefit saw significant uptake and high satisfaction among Medicare Advantage members with greater financial or food insecurity.

Peer-Reviewed Article

March 2024

Beneficiary Experience of Care by Level of Integration in Dual Eligible Special Needs Plans

Dual eligible beneficiaries in Virginia with integrated special needs plans reported lower out-of-pocket spending and greater plan satisfaction.

Peer-Reviewed Article

June 2024

Differences in Healthcare Utilization Between Enrollees of Fully Integrated Dual Eligible Special Needs Plans Versus Non-Fully Integrated Plans

Fully integrated dual eligible plans were associated with improved care outcomes for certain subpopulations of dually eligible older adults.

Peer-Reviewed Article

April 2024

Bridging the Home-Based Primary Care Gap in Rural Areas

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

Brief/Report

February 2024

Cost Reduction and Utilization Patterns in a Medicare Accountable Care Organization Using Home-Based Palliative Care Services

A home-based palliative care program leads to reductions in hospitalizations and total cost of care, along with an increase in the use of hospice care.

Peer-Reviewed Article

November 2023

Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals

Fully integrated dual-eligible special needs plans increase the use of home- and community-based services, but have limited impact on inpatient and emergency department visits and length of nursing home stays.

Peer-Reviewed Article

December 2023

Medicare Care Choices Model Improved End-of-Life Care, Lowered Medicare Expenditures, and Increased Hospice Use

Medicare model allowing concurrent coverage of hospice care and treatment improves end-of-life care and reduces total costs.

Peer-Reviewed Article

November 2023

Measuring Quality in Home and Community Based Services (HCBS): Key Considerations for Health Plans

Guidance for health plans for improving quality of home- and community-based services.

Implementation Tool

December 2022

Medicare-Medicaid Integrated Care Programs

Curates evidence behind three fully integrated care program models for people who are dually eligible for Medicare and Medicaid, as well as practical strategies that support effective implementation of these programs.

Collection

December 2023

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

Peer-Reviewed Article

August 2023

Making the Business Case for Value-Based Dementia Care

Opportunities for identifying the financial value of dementia care to support positive return on investment.

Peer-Reviewed Article

February 2023

How One Health Plan Reduced Disparities in Medication Adherence

One health plan’s approach to addressing racial and ethnic disparities in medication adherence rates offers insights on levers to address racial inequities.

Case Example

July 2022

Aligning Medicaid and Medicare Advantage Managed Care Plans for Dual-Eligible Beneficiaries

Aligned D-SNP enrollment was associated with more efficient service use among some dually eligible beneficiaries.

Peer-Reviewed Article

April 2021

Home-Based Primary Care Interventions

Systematic review demonstrates the potential of home-based primary care interventions for improving heath, cost, and patient experience outcomes for adults with multiple chronic conditions and serious disabilities.

Peer-Reviewed Article

February 2016

A Systematic Review of Primary Care and Payment Models on Emergency Department Use in Patients Classified as High Need, High Cost

Primary care and alternative payment models that reduce emergency department use and increase access to care for high-need populations share core components for success.

Peer-Reviewed Article

March 2021

Medicare Advantage Plans Offering Expanded Supplemental Benefits: A Look at Availability and Enrollment

Analysis of recent and projected growth of expanded supplemental benefits offered by Medicare Advantage plans — such as meals, transportation, and in-home support services.

Brief/Report

February 2021

Lessons Learned from the Transition from Volume to Value

Describes factors that support health care organizations in transitioning from volume- to value-based payment.

Peer-Reviewed Article

October 2020

Serving People with Severe Mental Illness who are Dually Eligible for Medicare and Medicaid

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.

Peer-Reviewed Article

June 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

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The People Say

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

Beneficiary Experience of Care by Level of Integration in Dual Eligible Special Needs Plans

Differences in Healthcare Utilization Between Enrollees of Fully Integrated Dual Eligible Special Needs Plans Versus Non-Fully Integrated Plans

Bridging the Home-Based Primary Care Gap in Rural Areas

Cost Reduction and Utilization Patterns in a Medicare Accountable Care Organization Using Home-Based Palliative Care Services

Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals

Medicare Care Choices Model Improved End-of-Life Care, Lowered Medicare Expenditures, and Increased Hospice Use

Measuring Quality in Home and Community Based Services (HCBS): Key Considerations for Health Plans

Medicare-Medicaid Integrated Care Programs

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

Making the Business Case for Value-Based Dementia Care

How One Health Plan Reduced Disparities in Medication Adherence

Aligning Medicaid and Medicare Advantage Managed Care Plans for Dual-Eligible Beneficiaries

Home-Based Primary Care Interventions

A Systematic Review of Primary Care and Payment Models on Emergency Department Use in Patients Classified as High Need, High Cost

Medicare Advantage Plans Offering Expanded Supplemental Benefits: A Look at Availability and Enrollment

Lessons Learned from the Transition from Volume to Value

Serving People with Severe Mental Illness who are Dually Eligible for Medicare and Medicaid

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