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.
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.
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.
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.
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.
Growth in Medicare Advantage plans linked to decreased cost and utilization for high-need, high-cost fee-for-service Medicare beneficiaries with multiple chronic conditions.