Financial Alignment Demonstrations

New ICRC Case Study | The MyCare Ohio Demonstration: Early Successes and Stakeholder Insights on Integrating Care for Dually Eligible Beneficiaries

This case study, developed for the Integrated Care Resource Center, describes: (1) the demonstration’s structure; (2) results achieved to date; and (3) insights on the demonstration’s implementation from the state and other stakeholders. State Medicaid agencies, particularly those looking to integrate care for dually eligible beneficiaries in capitated delivery systems, may find the information described in this brief useful.

The MyCare Ohio Demonstration: Early Successes and Stakeholder Insights on Integrating Care for Dually Eligible Beneficiaries

To provide more integrated, coordinated care for its residents who are dually eligible for Medicare and Medicaid, Ohio is operating a demonstration under the Financial Alignment Initiative offered by the Centers for Medicare & Medicaid Services. This case study describes: (1) the demonstration’s structure; (2) results achieved to date; and (3) insights on the demonstration’s implementation from the state and other stakeholders.

Integrated Care Updates - May 2019

May 2019 Contents:

  • CMS Releases PACE Final Rule
  • New Evaluation Reports for Demonstrations under the Financial Alignment Initiative
  • Upcoming Resources for Integrated Care (RIC) Webinars
  • CMS Releases 2017 Medicaid Managed Care Enrollment Reports
  • May 2019 Enrollment in Medicare-Medicaid Plans (MMPs)
  • May 2019 Enrollment in PACE Organizations

New Opportunities to Test Innovative Models of Integrated Care for Dually Eligible Individuals

On April 24, 2019, MS released a State Medicaid Director Letter that invites states to partner with CMS to test innovative approaches to better serve individuals who are dually eligible for Medicare and Medicaid. The three new opportunities include: capitated Financial Alignment models; (2) managed fee-for-service Financial Alignment models; and (3) state-specific models. 

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