Across the United States, more than 12 million people are dually eligible for both Medicaid and Medicare, but only about one million receive coordinated services. People who are dually eligible for these programs are often left to navigate a fragmented and uncoordinated system of care on their own. Fully integrated care programs — such as Fully Integrated Dual Eligible Special Needs Plans, Programs of All-Inclusive Care for the Elderly, and Medicare-Medicaid Plans — coordinate services across Medicare and Medicaid and are designed to help dually eligible individuals maneuver this confusing landscape.
Health care stakeholders, including health plans, policymakers, and health system leaders, can use this Better Care Playbook Collection to understand recent evidence on Medicare-Medicaid integration and learn about promising strategies for implementing fully integrated care programs and delivery models.
See also a related Playbook blog post, Integrated Services to Better Meet the Needs of Dually Eligible Beneficiaries: State of the Field, that features a conversation with José Figueroa, MD, MPH, assistant professor of Health Policy and Management at Harvard School of Public Health, assistant professor of health policy and management at Harvard School of Public Health, assistant professor of medicine at Harvard Medical School, and associate physician at Brigham and Women’s Hospital. The discussion explores emerging evidence behind integrated care programs and what is known about the impact of these programs on the populations they serve.