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Medicare-Medicaid Integration

State Efforts to Integrate Care for Dually Eligible Beneficiaries: 2020 Update

BRIEF

Related Topics

  • Medicare-Medicaid/Long-Term Care
  • Long-Term Services and Supports

Dually eligible beneficiaries, also known as Medicare-Medicaid enrollees, often have significant health and social service needs — making them among the nation’s highest-need, highest-cost populations. Integrating the financing and delivery systems for these enrollees has the potential to improve beneficiary and family experience of care, increase care quality, and reduce costs.

Latest Resources

  • Brief
    Meeting the Moment: Strengthening Managed Care’s Capacity to Serve California’s Seniors and Persons with Disabilities April 2021
  • Brief
    A Primer on the Dual Eligible Population in Massachusetts March 2021
  • Report
    Addressing Social Determinants of Health Through Dual-Eligible Special Needs Plans October 2020
  • Report
    Integrated Care Programs for Dually Eligible Individuals in the Era of COVID-19: Response Efforts and Policy Recommendations October 2020
  • Brief
    Demystifying Data: How Medicare Data Can Support Medicaid Agencies October 2020

MORE RESOURCES »

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  • The Better Care Playbook
  • Integrated Care Resource Center Technical Assistance Provider
  • Promoting Integrated Care for Dual Eligibles

Featured Blog Post

January 2021 Addressing Social Needs Amid the COVID-19 Pandemic: A Survey of Dual Eligible Special Needs Plans

Dually eligible individuals frequently have significant social risk factors, which if addressed, could improve their access to care, health outcomes, and quality of life. How have plans addressed these health-related social needs during the pandemic?

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Topics

  • Adults with Complex Needs
  • Children’s Health
  • COVID-19
  • Cross-Sector Alignment
  • Delivery System and Payment Reform
  • Health Equity
  • Medicaid Leadership and Capacity Building
  • Medicare-Medicaid/Long-Term Care
  • Population Health and Prevention
  • Trauma-Informed Care
  • All topics »

Latest on Twitter

New federal primary care models should consider the unique needs and role of #Medicaid payers, providers, and enrollees. Learn more in a new brief from @CHCS_Health experts based on interviews with state Medicaid officials: https://buff.ly/3uxIK8y

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