Displaying 1 - 20 of 109

The Impact of Medicaid Accountable Care Organizations on Health Care Utilization, Quality Measures, Health Outcomes and Costs from 2012 to 2023: A Scoping Review

Research review finds Medicaid accountable care organizations show promise for increasing primary care visits and reducing hospital admissions, with mixed results for quality, outcomes, and costs.

Peer-Reviewed Article

April 2024

Realizing the Potential of Accountable Care in Medicaid

Findings from a literature review and state interviews share experiences and outcomes of implementing Medicaid accountable care organization programs.

Brief/Report

April 2023

Leveraging Medicaid Accountable Care Organizations to Address Health Equity: Examples from States

Tool shares strategies for states to use Medicaid accountable care organization agreements to promote health equity.

Implementation Tool

May 2021

How Medicaid Delivery System Reform Can Support Care Integration for Populations with Complex Needs

Features a discussion with Michaela Kerrissey, PhD, associate professor of management at the Harvard T.H. Chan School of Public Health, on primary care practice experiences with care integration and how Medicaid policy can influence integration.

Blog

March 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

The Health Care Guide to Contracting with CBOs

This resource toolkit offers best practices for contracting between health care systems and community-based organizations to address health-related social needs.

Implementation Tool

December 2023

Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care

The transition to the Medicaid behavioral health “carve-in” model in Washington State was not associated with significant improvements in overall health outcomes.

Peer-Reviewed Article

December 2023

Carve-In Models for Specialty Behavioral Health Services in Medicaid: Lessons for the State of California

Report analyzes experiences of and evidence on the behavioral health carve-in model in Medicaid and shares recommendations for California policymakers.

Brief/Report

February 2022

Strategies for Meaningfully Engaging MassHealth Members to Inform Program and Policy Decisions

Report shares Medicaid member engagement framework and principles to guide state policymakers.

Brief/Report

June 2024

Association of a Medicare Advantage Posthospitalization Home Meal Delivery Benefit With Rehospitalization and Death

Home-delivered meals reduced rates of 30-day rehospitalization and death for Medicare Advantage members post hospitalization.

Peer-Reviewed Article

June 2023

A Formal Framework for Incorporating Equity into Health Care Quality Measurement

Using “equity weighting” may improve quality measurement efforts intending to advance health equity for underserved groups.

Peer-Reviewed Article

October 2023

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

The Return on Investment (ROI) Calculator for Healthcare Partnerships to Address Social Needs

This tool can support health care and community-based organizations in building sustainable cross-sector partnerships.

Implementation Tool

October 2023

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The Impact of Medicaid Accountable Care Organizations on Health Care Utilization, Quality Measures, Health Outcomes and Costs from 2012 to 2023: A Scoping Review

Realizing the Potential of Accountable Care in Medicaid

Leveraging Medicaid Accountable Care Organizations to Address Health Equity: Examples from States

How Medicaid Delivery System Reform Can Support Care Integration for Populations with Complex Needs

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

The Health Care Guide to Contracting with CBOs

Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care

Carve-In Models for Specialty Behavioral Health Services in Medicaid: Lessons for the State of California

Strategies for Meaningfully Engaging MassHealth Members to Inform Program and Policy Decisions

Association of a Medicare Advantage Posthospitalization Home Meal Delivery Benefit With Rehospitalization and Death

A Formal Framework for Incorporating Equity into Health Care Quality Measurement

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

The Return on Investment (ROI) Calculator for Healthcare Partnerships to Address Social Needs