Improving the quality and cost-effectiveness of publicly financed health care
Medicaid Best Buys - Integrating Care for Dual Eligibles: Opportunities for States
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Of the nearly 7.5 million individuals who are dually eligible for Medicare and Medicaid, the majority have significant medical, behavioral, long-term care, and social needs. Dual eligible beneficiaries are also a costly subset for both programs, representing more than 40 percent of all Medicaid spending and almost a quarter of Medicare spending. Medicaid stakeholders are increasingly seeking creative options to improve the quality of care and rein in spending for this high-need, high-cost population. Particularly now, with a new federal administration in 2009, states and health plans may have additional opportunities to create options that seamlessly meet the full range of care needs of dual eligibles.
This 90-minute webinar explored progress that states have made in integrating care for dual eligible populations via Special Needs Plans (SNPs), the challenges for integrating care, and new non-SNP alternatives for states to consider. It also addressed best practices for involving consumers in the design and implementation of programs and highlighted the experiences of New Mexico in recently launching a new integrated approach for its dual eligible population.
The Presentations:
Integrating Care for Dual Eligibles: Opportunities for States
Melanie Bella, Senior Vice President, Center for Health Care Strategies
Engaging Consumers for Successful Integrated Care Approaches
Susan Sherry, Deputy Director, Community Catalyst
State Case Study: Coordinating Long Term Care Services in New Mexico
Larry Heyeck, Deputy Director, Medical Assistance Division, New Mexico Department of Human Services
Additional Resources:
CMS' Integrated Care Initiative Overview and Roadmap