resource Organizing Complex Care for Rural Populations: A Case Study of Three Montana Communities In rural Montana, distance is often a barrier to care for patients with complex needs. Interventions that succeed in...

March 2019

resource Promising State Innovation Model Approaches for High-Priority Medicaid Populations: Three State Case Studies The State Innovation Models (SIM) initiative within the Center for Medicare and Medicaid Innovation is partnering with states to...

March 2019

resource Strengthening MLTSS in an Evolving Policy Environment Toolkit: Integrate LTSS Under Provider-Based Initiatives While many states are pursuing long-term services and supports (LTSS) integration through capitated managed care programs, several states have...

resource Strengthening MLTSS in an Evolving Policy Environment Toolkit: Enroll Individuals with Intellectual/Developmental Disabilities in Managed Care Traditionally, certain high -need populations, such as individuals with intellectual and development disabilities (I/DD), have been “carved out” of...

resource Strengthening MLTSS in an Evolving Policy Environment Toolkit: Integrate Comprehensive Care for Medicaid-Only Beneficiaries Historically, states have “carved out” or excluded Medicaid-only long-term services and supports (LTSS) beneficiaries from managed care. Instead, they...

resource Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States Provides a menu of long-term services and supports (LTSS) reform strategies adopted by state innovators ― identifying concrete policy...

March 2019

resource Strengthening MLTSS in an Evolving Policy Environment Toolkit: Integrate Benefits for Individuals Dually Eligible for Medicare and Medicaid More than 12 million individuals are dually eligible for Medicare and Medicaid. Having two separate insurers for physical health...

resource Strengthening MLTSS in an Evolving Policy Environment Toolkit: Expand Access to HCBS for “Pre-Medicaid” Individuals Most people enter the long-term services and supports (LTSS) system during a crisis that is often preceded by an...

resource Strengthening MLTSS in an Evolving Policy Environment Toolkit: Develop LTSS System Infrastructure to Promote Greater Access to HCBS Fiscal pressures and increasing demand for consumer-preferred, lower cost home- and community-based services (HCBS) have driven and continue to...

resource Strengthening MLTSS in an Evolving Policy Environment Toolkit: Help Nursing Facility Residents Return to Their Communities Strong commitment among advocates, the Olmstead decision, and states’ own recognition of the high rates of institutionalization among long-term...

resource Opportunities for Complex Care Programs to Address the Social Determinants of Health Traditionally, payers, policymakers, and consumers have looked to the health care system to improve health outcomes. More recently, however,...

February 2019

resource Building the Business Case and Value-Based Payment Models for Enhanced Medication Management  For people with complex health and social needs who also have complicated drug regimens, pharmacists can provide patient-centered,...

March 2019