Following are summaries of peer-reviewed research, evaluations, and reports on recent integrated care approaches. Many of these models have demonstrated positive results, such as improving individuals’ experience of care, increasing care quality, and reducing avoidable costs.
Understanding the Program of All-Inclusive Care for the Elderly
MACPAC report on PACE details implementation and policy considerations for this provider-level model that integrates Medicare and Medicaid.
Outcomes for Dual-Eligible Beneficiaries With Dementia in Special Needs Plans and Other Medicare Advantage Plans
Medicare Advantage plans with a higher level of integration between Medicare and Medicaid coverage are associated with improved outcomes for dually eligible individuals with dementia.
Beneficiary Experience of Care by Level of Integration in Dual Eligible Special Needs Plans
Dual eligible beneficiaries in Virginia with integrated special needs plans reported lower out-of-pocket spending and greater plan satisfaction.
Differences in Healthcare Utilization Between Enrollees of Fully Integrated Dual Eligible Special Needs Plans Versus Non-Fully Integrated Plans
Among people who use home- and community-based services, those enrolled in a FIDE plan had lower hospitalization rates than other D-SNP enrollees.
Comparing HEDIS Performance of Dual Eligible Special Needs Plans with Other Coverage Types for Dually Eligible People
D-SNP enrollees had improved outcomes based on six HEDIS measures of care quality when compared to traditional Medicare enrollees.
Integrated Services to Better Meet the Needs of Dually Eligible Beneficiaries: State of the Field
Features a conversation with José Figueroa, MD, MPH, that explores emerging evidence behind integrated care programs and what is known about the impact of these programs on the populations they serve.
Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals
Fully integrated dual-eligible special needs plans increase the use of home- and community-based services, but have limited impact on inpatient and emergency department visits and length of nursing home stays.
Minority Older Adults’ Access to and Use of Programs of All-Inclusive Care for the Elderly
Qualitative research reveals key facilitators of access to PACE programs among Black and Latino older adults.
Differences in Care Between Special Needs Plans and Other Medicare Coverage for Dual Eligibles
Study shows racial disparities in how coverage by a Dual-Eligible Special Needs Plan (D-SNP) impacts the experience of care.
Comparing Outcomes for Dual Eligible Beneficiaries in Integrated Care: Final Report
Report analyzes evidence on integrated care models in comparison to non-integrated Medicare Advantage plans.
Care Plans, Care Teams, and Quality of Life for People with Disabilities
For people with disabilities, familiarity with their care teams and care plans, and increased access to long-term services and supports can improve their perceptions of quality of life and health care.
Evaluations of Integrated Care Models for Dually Eligible Beneficiaries: Key Findings and Research Gaps
Summarizes evidence on how integrated care models affect health and cost outcomes for dually eligible beneficiaries.
