Improving the quality and cost-effectiveness of publicly financed health care
Integrated Care Program Design: A Checklist for States
More than seven million Americans can be defined as “dual eligibles”—people who are elderly or have disabilities and are covered by both Medicare and Medicaid. Their care is too often fragmented and extremely expensive—costing nearly double those of other adults covered by Medicare and eight times higher than Medicaid spending for children.
This tool, developed for the Integrated Care Program in consultation with a group of national experts, examines the implications of program design on states' ability to set and risk adjust rates for programs that integrate the financing, delivery, and administration of primary, acute, behavioral health, and long-term care services and supports for people with chronic illnesses and disabilities who are dually eligible or covered solely by Medicaid.