Cooperating for better care.

News & Views

Review of some state care-integration initiatives

Share this:
Here’s a very useful review by the Center for Healthcare Strategies of  states’ innovative initiatives to  integrate primary, acute,  behavioral and long-term care while aligning Medicare and Medicaid financing.

More than 10 million people in the U.S. are dual-eligible beneficiaries, and are often among the highest-need, highest-cost population.

For example, as of this month, 10 states had launched capitated demonstrations. Two states have launched managed fee-for-service demonstrations. And Minnesota has signed an agreement with the Centers for Medicare & Medicaid Services (CMS) for an alternative model focused on administrative alignments.

 Among the innovations:
  • Offering Medicare and Medicaid benefits within a single health plan.
  • Providing all-inclusive care for the elderly.
  • Managing long-term care and services and support.
  • Aligning enrollment, benefit and coverage notifications for patients and providers.

The report says:  “States are taking advantage of unprecedented federal support as they advance alignment of Medicare and Medicaid services for dually eligible beneficiaries. States and their federal partners will continue to refine the opportunities described here and possibly develop other alternative pathways.”

Contact Info

(617) 230-4965

Wellesley, Mass