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

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

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

“At-a-Glance” Guide to Federal Medicaid Authorities Useful in Restructuring Medicaid Health Care Delivery or Payment

This technical assistance tool summarizes federal authorities that may be useful in restructuring Medicaid health care delivery or payment.

April 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

Integrating Care for Medicare-Medicaid Enrollees Using a Managed Fee-for-Service Model

This brief examines primary care case management and related models to identify key program design elements in managed fee-for-service models of integrated care for Medicare-Medicaid enrollees.

February 2012 Technical Assistance Briefs & Tools

Requesting and Using Medicare Data to Integrate Care for Medicare-Medicaid Enrollees: An Overview

This toolkit consists of technical assistance briefs that detail the process states must use to request Medicare Part A, B, and D claims data from the Centers for Medicare & Medicaid Services' Medicare-Medicaid Coordination Office. Includes links to background information and required forms.

February 2012 Technical Assistance Briefs & Tools

Communicating the Value of Integrated Care to Stakeholders

This brief discusses the reasons why it is important to engage stakeholder groups; how to identify distinct audience groups within stakeholder community; how to target messages to specific audiences, and what methods of communication are available.

November 2011 Policy & Issue Briefs

Technical Assistance for Dual Eligible Integrated Care Demonstrations

CHCS, with support from The SCAN Foundation and The Commonwealth Fund, is providing targeted technical assistance to help select demonstration states in developing and implementing innovative payment and delivery models for duals.

June 2011 Initiative

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
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