More and more people who are dually eligible for Medicare and Medicaid are enrolling in integrated care programs. Anecdotal evidence shows that integrated care is benefiting dually eligible enrollees; however, existing performance measures may not fully capture how these programs are improving people’s lives.

This brief details success stories from two health plans and examines the program elements behind these successes and the potential for existing measures — as well as measures currently in development — to accurately assess the performance of integrated care programs. States, health plans, and other stakeholders can use this information to refine their measurement strategies for programs serving dually eligible individuals.

Posted: June 2022