CHCS - Center for Health Care Strategies

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

Dual Eligibles / Integrated Care

More than nine 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

Engaging Providers in Building Managed Care Delivery Systems: Tips for States

This brief provides tips to help states engage providers in designing, implementing, and overseeing a managed care delivery system for individuals with complex care needs.
April 2014 Technical Assistance Briefs & Tools

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

Promoting Integrated Care for Dual Eligibles (PRIDE)

Through Promoting Integrated Care for Dual Eligibles (PRIDE), supported by The Commonwealth Fund, CHCS is helping a consortium of seven high-performing health plans to identify and test innovative strategies that enhance and integrate care for Medicare-Medicaid enrollees.
December 2013 Initiative

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 Provider Networks for Medicaid Managed Long-Term Services and Supports Programs: Considerations for States

This technical assistance brief presents considerations for provider network development, reviews recent guidance, and offers examples of state practices for establishing MLTSS network adequacy standards.
July 2013 Technical Assistance Briefs & Tools

Three State Paths to Improve Medicaid Managed Long-Term Care: Florida, New Jersey, and Virginia

This brief looks at the paths pursued by Florida, New Jersey, and Virginia in implementing MLTSS approaches focused on helping individuals to live in their communities rather than nursing facilities.
July 2013 Policy & Issue Briefs

Innovations in Integration: State Approaches to Improving Care for Medicare-Medicaid Enrollees

This brief explores the innovative design approaches that have been proposed by select states participating in the State Demonstrations to Integrate Care for Dual Eligible Individuals and examines common issues states face in creating integrated programs.
February 2013 Policy & Issue Briefs

Innovations in Medicare-Medicaid Integration: Updates from Three State Pioneers

This 90-minute webinar included presentations from two states that have signed a Memorandum of Understanding with CMS for the Financial Alignment Demonstration: Massachusetts, which is building a capitated model, and Washington, which is developing a managed fee-for-service approach.
January 2013 Webinar Resources

Quality Measurement in Integrated Care for Medicare-Medicaid Enrollees

This brief summarizes efforts to develop quality of care measures for Medicare-Medicaid enrollees.
January 2013 Technical Assistance Briefs & Tools

State Trends and Innovations in Medicaid Long-Term Services and Supports

This brief highlights states' continued progress in: 1) rebalancing Medicaid LTSS options toward home- and community-based services; and 2) developing and implementing managed LTSS programs to better integrate care.
December 2012 Policy & Issue Briefs

Health Home Information Resource Center

The Health Home Information Resource Center is a national initiative of the Centers for Medicare & Medicaid Services to help states develop health home models for high-need, high-cost Medicaid populations. Technical assistance is coordinated by Mathematica Policy Research and the Center for Health Care Strategies.

September 2012 Initiative

Structuring New Service Delivery Models for Individuals with Intellectual and Developmental Disabilities

This policy brief discusses key elements of new service delivery models for individuals with intellectual and developmental disabilities and provides examples of such models now being implemented.
September 2012 Policy & Issue Briefs

Systems of Care for Individuals with Intellectual and Developmental Disabilities: A Survey of States

This policy brief describes the current delivery systems used by states to provide services and supports to individuals with intellectual and developmental disabilities.
September 2012 Policy & Issue Briefs

Trends and Challenges in Publicly-Financed Care for Individuals with Intellectual and Developmental Disabilities

This resource paper summarizes important trends and challenges facing the publicly-funded service delivery system for individuals with intellectual and developmental disabilities.
September 2012 Resource Papers

Medicaid “Best Buys”: Improving Care for Medicare-Medicaid Enrollees

Carolyn Ingram's August 8th presentation at the National Conference of State Legislatures Legislative Summit.
August 2012 Staff Presentations

Low-Cost, Low-Administrative Burden Ways to Better Integrate Care for Medicare-Medicaid Enrollees

States seeking to improve the coordination and integration of Medicare and Medicaid services can begin to make small scale changes using these low-cost, low-administrative burden methods.

June 2012 Technical Assistance Briefs & Tools

Financial Alignment Models for Medicare-Medicaid Enrollees: Considerations for Reimbursement

This brief explores considerations for establishing reimbursement rates and performance incentives for new financial models available to align care for Medicare-Medicaid enrollees.

February 2012 Policy & Issue Briefs
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