The nearly 10 million individuals enrolled in both Medicare and Medicaid (known as “Medicare-Medicaid enrollees” or “dual eligibles”) are among the nation’s highest-need populations. Many Medicare-Medicaid enrollees receive fragmented and uncoordinated care from two distinct programs with separate benefits and enrollment policies. Integrating care and services into a single program or coordinated delivery system is essential to improving the quality of care and lowering costs for Medicare-Medicaid enrollees.
Over the last decade, the Center for Health Care Strategies (CHCS) has worked with states, health plans, and federal partners to pioneer innovative integration approaches. This online toolkit compiles resources to help states exploring options to integrate care through a variety of vehicles, including financial alignment demonstrations, Dual Eligible Special Needs Plans, managed long-term services and supports programs, etc. The toolkit’s content will continue to expand as opportunities evolve and new resources are developed; please check back for updates.
The Commonwealth Fund and The SCAN Foundation