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.
This brief describes approaches that states have used to communicate early integrated care program results. Strategies discussed include developing program indicator dashboards, disseminating beneficiary experience data, and sharing success stories.
(Center for Health Care Strategies)
This tool describes the key areas of information that demonstration enrollment brokers' customer service representatives should master to improve the quality of decision-support services for beneficiaries who are being passively enrolled in a… (Integrated Care Resource Center)
This webinar details RTI's evaluation of state demonstrations under the Financial Alignment Initiative, including a review of the State Data Reporting System and the "finder file" for the evaluation.
(Integrated Care Resource Center)
In this presentation, CMS and MassHealth staff provide different perspectives on the challenges and successes of the three-way contracting process in Massachusetts, including discussion of managing timeframes and interacting with health plans.
(Integrated Care Resource Center)
This brief provides suggestions for designing and implementing integrated care initiatives that are of high quality, offer attractive benefits and services, and provide easy-to-understand education, outreach, and marketing information. It also… (Integrated Care Resource Center)
This brief provides basic information on Medicare Part D, including how beneficiaries are enrolled in Part D, how Part D drugs are paid for, what drugs are and are not covered in Part D, how drug utilization is managed in Part D, and how the Part D… (Integrated Care Resource Center)
This brief reviews primary care case management and related models to gather insights into key program design elements in managed fee-for-service models.
(Integrated Care Resource Center)
This memo provides guidance to organizations interested in offering capitated financial alignment demonstration plans.
(Centers for Medicare & Medicaid Services)
These documents, including California's proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website.
(Centers for Medicare & Medicaid Services)
This website provides information on the Medicare-Medicaid Alignment Initiative -- the capitated model Financial Alignment Initiative in Illinois.
(Illinois Department of Healthcare and Family Services)
This web page provides information on the Accountable Care Collaborative Medicare-Medicaid Program -- the managed fee-for-service model Financial Alignment Initiative in Colorado.
(Colorado Department of Health Care Policy & Financing)