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.
Home-based intensive care model for Medicaid and dually eligible enrollees with complex needs led to positive health outcomes and reduced acute care spending, particularly for individuals with a behavioral health diagnosis.
Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.