Across the country, state policymakers are considering how best to integrate care for individuals dually eligible for both Medicare and Medicaid. Since the Centers for Medicare & Medicaid Services (CMS) released guidance for the Financial Alignment Demonstration in July 2011, some states have moved forward with implementing these demonstration programs, while others have decided to pursue alternative strategies for integration. Several factors have affected the directions states have taken, including current program policies and infrastructure, as well as the input of stakeholder groups that have helped to inform the process. Stakeholders and policymakers alike can learn from the experiences of pioneering states that have taken significant steps toward implementing financial alignment models.

This 90-minute webinar included presentations from two states that have signed a Memorandum of Understanding with CMS for the Financial Alignment Demonstration: Massachusetts, which is building a capitated model, and Washington, which is developing a managed fee-for-service approach. In addition, a speaker from Minnesota described the state’s alternative strategy for expanding Medicare-Medicaid integration.


I. Introduction

Speaker: Michelle Herman, Senior Program Officer, Center for Health Care Strategies (CHCS)

II. Massachusetts’ Experience

Speaker: Corri Altman Moore, Director of Policy, MassHealth/Executive Office of Health and Human Services

Ms. Altman Moore discussed how Massachusetts’ demonstration has evolved, including the care model and the content of their MOU with CMS, as well as how stakeholders have influenced decisions along the way.

III. Washington State’s Experience

Speaker: Bea Rector, Project Director, Washington Department of Social and Health, Services, Aging and Disability Services Administration

Ms. Rector gave an overview of Washington State’s demonstration and how the design of their program has changed in response to discussions with CMS and stakeholder input. She also described Washington’s MOU with CMS and provided advice to other states on the MOU process.

IV. Minnesota’s Experience

Speaker: Pamela Parker, Manager, Special Needs Purchasing, Minnesota Department of Human Services

Ms. Parker discussed how Minnesota’s plan to integrate care for Medicare-Medicaid enrollees has evolved over the past 18 months, along with the decisions and forces behind these changes.

V. Questions and Answers

Moderator: Michelle Herman