Through opportunities created by the Affordable Care Act, states are testing new models of care for Medicare-Medicaid enrollees that seek to better integrate Medicare and Medicaid services, improve care delivery and beneficiary experience, and reduce inappropriate spending.

This brief explores the innovative design approaches that have been proposed by select states participating in the Centers for Medicare & Medicaid Services’ State Demonstrations to Integrate Care for Dual Eligible Individuals and examines common issues states face in creating integrated programs. This information can help guide other states considering similar programs for this high-need, high-cost population.

This brief is part of CHCS’ Technical Assistance for Dual Eligible Integrated Care Demonstrations program, made possible through The SCAN Foundation and The Commonwealth Fund. Through this program, CHCS is helping states develop and implement integrated-care models for individuals eligible for both Medicare and Medicaid services.