Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.
Assigning dually eligible individuals with mental illness to ACOs was associated with shifts to lower-cost outpatient settings, but did not affect overall spending and utilization.
Medicare beneficiaries with complex needs who were enrolled in Medicare Advantage had lower rates of acute care utilization than those enrolled in traditional Medicare.
Behavioral health wraparound program led to reduced utilization and costs in first month after an emergency department or behavioral health admission, but mixed results occurred in subsequent months.
Accountable care organization leaders share perspectives on payment mechanisms used with social service organizations, challenges experienced, and the impacts of these partnerships.
Global budgets for hospitals reduced expenditures and utilization for some Medicare subpopulations with complex health and social needs, yet disparities existed for some subgroups.
This case study highlights an accountable care organization’s home-based primary care program for homebound older adults, with early analysis of outcomes showing reduced acute care utilization.
Analysis of recent and projected growth of expanded supplemental benefits offered by Medicare Advantage plans — such as meals, transportation, and in-home support services.
Examines the early implementation of Medicare Advantage expanded supplemental benefits, along with policy considerations to promote plan adoption and beneficiary access to these benefits.
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.
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.