States seeking to integrate Medicare and Medicaid services for dually eligible beneficiaries need to consider a variety of issues in program design and implementation such as incorporating behavioral health and long-term services and supports, consumers and providers engagement, and linking Medicare and Medicaid data. Use the filter below to view resources related to these and other topics.
These profiles provide demographic, enrollment, and expenditure data for Medicare-Medicaid Enrollees. See the data reports for additional details: National Summary 2012 | National Data File 2012 | State and County Data File 2012 | National and… (Centers for Medicare & Medicaid Services)
This brief highlights insights from states that are fine-tuning their integrated care programsandcan help other states design their own integrated care programs to meet beneficiaryneeds.
(Center for Health Care Strategies)
This brief provides an overview of four integration models: (1) Dual Eligible Special Needs Plan-based; (2) Financial Alignment Initiative-based; (3) the Program of All-Inclusive Care for the Elderly; and (4) accountable care organizations and… (Center for Health Care Strategies)
This report presents information on the frailty level, access to care, and the quality of care of PACE participants enrolled with for-profit PACE organizations as compared to not-for-profit PACE organizations and is based on the <a href="… (Centers for Medicare & Medicaid Services)
This report examines the effects of PACE on Medicare and Medicaid expenditures, use of nursing facility use, and mortality.
(Assistant Secretary for Planning and Evaluation)
This report uses existing evaluations of PACE to summarize the available evidence on the effect of PACE on: Medicare and Medicaid costs; hospital and nursing facility use; quality of care, satisfaction and quality of life; and mortality.
(Assistant Secretary for Planning and Evaluation)
Chapter 5 of this report to Congress examines rate setting in capitated integrated care programs including PACE.
(Medicaid and CHIP Payment and Access Commission)
This webpage provides a general overview of PACE and links to more information for individuals, states, and PACE programs.
(Centers for Medicare & Medicaid Services)
This webpage provides information for state Medicaid agencies and state administering agencies about operating PACE programs.
(Centers for Medicare & Medicaid Services)