CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

Dual Eligibles / Integrated Care

More than eight million Americans are dually eligible for Medicaid and Medicare services. Their health care costs are nearly five times those of other adults covered by Medicare. CHCS helps Medicaid stakeholders design programs that integrate the delivery and financing of primary, acute, behavioral health, and long-term care services and supports for dually eligible adults.

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Title and Description Date Type

Effectively Integrating Care for Dual Eligibles

This presentation provided an update on state efforts to integrate care inside and outside the Centers for Medicare & Medicaid Services' dual demonstrations.
February 2014 Staff Presentations

State Approaches to Integrating Physical and Behavioral Health Services for Medicare-Medicaid Beneficiaries: Early Insights

This new CHCS brief describes early efforts in four states -- Arizona, California, Massachusetts, and Washington -- to improve integration of behavioral health services for Medicare-Medicaid beneficiaries.
February 2014 Policy & Issue Briefs

Study Group Report on the Integration of Long Term Care Services into the Global Budgets of Oregon's Coordinated Care Organizations

This report to the Centers for Medicare & Medicaid Services considers the opportunities, barriers, and strategies for integration of long-term care services into the global budgets of Coordinated Care Organizations (CCOs).

December 2013 Reports

Building State Capacity to Implement Integrated Care Programs for Medicare-Medicaid Enrollees

This technical assistance brief examines key areas where states will need to build their internal capacity as they pursue integrated care programs for Medicare-Medicaid enrollees.
July 2013 Technical Assistance Briefs & Tools

Developing an Integrated Care Program for Dual Eligibles Using Special Needs Plans

This CHCS technical assistance brief, made possible by The Commonwealth Fund, draws from the experiences of pioneering states to detail critical issues for state consideration in determining whether to contract with dual SNPs.

January 2011 Technical Assistance Briefs & Tools

From the Beneficiary Perspective: Core Elements to Guide Integrated Care for Dual Eligibles

This technical assistance brief was developed to help Medicaid stakeholders and others committed to improving care for dual eligibles design more responsive integrated care models. It draws from the experiences of seven innovator states that participated in the Transforming Care for Dual Eligibles, a national initiative that worked with states to develop integrated care programs.

December 2010 Technical Assistance Briefs & Tools

Advancing Integrated Models for Dual Eligibles: New Innovations and Opportunities

This 90-minute webinar highlighted state progress for integrating care for duals and showcased innovative approaches in two states. A representative from the Centers for Medicare & Medicaid Services Federal Coordinated Health Care Office outlined opportunities to help states achieve meaningful integration.

December 2010 Webinar Resources

Engaging Consumer Stakeholders to Improve Systems of Care for Dual Eligibles

For states looking to integrate care for duals, a robust stakeholder engagement process will provide invaluable feedback for shaping programs to best meet consumer needs. This technical assistance brief is a product of Transforming Care for Dual Eligibles, a national initiative made possible by The Commonwealth Fund.

December 2010 Technical Assistance Briefs & Tools

Profiles of State Innovation: Roadmap for Improving Systems of Care for Dual Eligibles

This roadmap synthesizes state best practices across the country to offer guideposts for improved integration of services for dual eligible beneficiaries with the goal of high-quality, consumer-focused, and cost-effective care.

November 2010 Reports

Integrating Medicare and Medicaid Data to Support Improved Care for Dual Eligibles

This brief provides practical information about identifying ways to link Medicare and Medicaid data to better understand the dual eligible population and uncover opportunities to improve care.

July 2010 Technical Assistance Briefs & Tools

Opportunities to Integrate Care for Dual Eligibles

On July 23, 2010, Melanie Bella, CHCS senior vice president, participated in a National Health Policy Forum panel discussion on issues states face in serving dual eligible beneficiaries.

July 2010 Staff Presentations

Managing Current and New Dual Eligibles: CHCS Presentations from the National Medicaid Congress Symposium

On June 7, 2010, Melanie Bella, CHCS senior vice president, presented two sessions at the National Medicaid Congress Managing Current and New Dual Eligibles Symposium.

June 2010 Staff Presentations

Options for Integrated Care for Duals in Medi-Cal: Themes from Interviews with Key Informants and Community Dialogues

This document describes California's approach to gathering stakeholder input related to proposed integration of services for dual eligibles for its Medicaid 1115 waiver renewal.

March 2010 Resource Papers

Options for Integrating Care for Dual Eligible Beneficiaries

This resource offers a valuable reference for states looking to integrate Medicare and Medicaid services to deliver higher-quality and more cost-effective care for this vulnerable population.

March 2010 Technical Assistance Briefs & Tools

Opportunities to Integrate Care for Medicaid Complex Need Populations

On January 19, 2010, Melanie Bella, CHCS senior vice president, presented at an ACAP webinar on opportunities to integrate care for Medicaid beneficiaries with complex needs.

January 2010 Staff Presentations

Supporting Alternative Integrated Models for Dual Eligibles: A Legal Analysis of Current and Future Options

Integrating care for dual eligibles offers a significant opportunity to improve care and control rising health care costs, but progress has been slow.  This policy brief explores alternative strategies to integrate care for this high-need, high-cost population.

November 2009 Policy & Issue Briefs

Supporting Integrated Care for Dual Eligibles

This policy brief outlines the rationale for integrating care for adults who are dually eligible for Medicaid and Medicare, reasons why integration has been slow to progress, and emerging vehicles to accelerate the pace of fully integrated care.

July 2009 Policy & Issue Briefs

Transforming Care for Dual Eligibles

May 2009 - December 2010

May 2009 Initiative

CHCS Testimony: Making the Case for Improving Long-Term Care Services and Supports

This March 4, 2009 Senate Special Committee on Aging hearing focused on what the federal government, states, and individuals can do to improve how long-term care supports and services are designed and delivered. Ms. Bella detailed the cutting-edge efforts of states that are testing new delivery models to improve care for people with chronic medical and long-term care needs.

March 2009 Staff Presentations
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