Integrated Care

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Exploring Options for Integration: State Considerations to Better Coordinate Medicare and Medicaid

This webinar discussed two issue briefs from the MLTSS Institute on aligning Medicare and Medicaid for dually eligible individuals. The briefs covered were, "Starting from Square One: Considerations for States Exploring Medicare-Medicaid" and, “The Value of Integration to State Medicaid Agencies”. The webinar also highlighted the perspective of the District of Columbia, which is planning to launch new program elements to better integrate care.

Short URL: http://www.advancingstates.org/node/72036

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

This brief looks at states who operate Medicare-Medicaid integrated care models based on demonstrations under the federal Financial Alignment Initiative (FAI) or through Dual Eligible Special Needs Plans (D-SNPs) that are aligned with Medicaid managed care plans. It explores factors that contributed to state investment and successful program implementation. The brief also provides an overview of opportunities for other states interested in creating or enhancing integrated care programs.

Short URL: http://www.advancingstates.org/node/71952

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The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

This report is the fourth in a series of publications from the MLTSS Institute, which was established in 2016 to drive improvements in key MLTSS policy areas, facilitate sharing and learning among states, and provide direct and intensive technical assistance to states and health plans. This issue brief focuses on delivering effective care to individuals eligible for both Medicare and Medicaid and aims to lay out the case for state Medicaid agencies to invest in integrated care programs.

Short URL: http://www.advancingstates.org/node/71835

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Policy Spotlight: New Federal Law and Rules Open Door for Integrated Care in Medicare Advantage

This brief summarizes how recent changes to Medicare Advantage may enable AAAs and other CBOs to form new partnerships with Medicare Advantage plans. These partnerships can be used to provide supplemental benefits, such as home-delivered meals and transportation, to beneficiaries. The updated brief covers additional guidance from CMS on the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act.

Short URL: http://www.advancingstates.org/node/70807

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Integrated Care for People with Medicare and Medicaid: A Roadmap for Quality

To understand both the needs of people who use long-term services and supports (LTSS) through Medicare and Medicaid coverage and ways to apply quality measurement to this population, the National Committee for Quality Assurance (NCQA), supported by The SCAN Foundation, developed a roadmap for evaluating the quality of integrated care for dual eligibles.

Short URL: http://www.advancingstates.org/node/70199

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Using Data to Tell Your Story

This webinar, part of a series supported by the Administration for Community Living’s (ACL) Business Acumen Learning Collaborative , focuses on looking at how the type of data that is collected by a community-based organization (CBO) can be used to help develop a value proposition to potential health care partners and payers. In an era of accountable and metric-driven care and reimbursement, collecting and analyzing data is a critical skill for any organization.

Short URL: http://www.advancingstates.org/node/70000

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Advancing Medicare and Medicaid Integration: Key Program Features and Factors Driving State Investment

For individuals who receive services from both Medicare and Medicaid, care is often fragmented across a wide array of medical, behavioral health, and long-term care providers. Medicare and Medicaid offer otherwise uncoordinated systems of care with different eligibility criteria, benefits, provider networks, and enrollment processes. This issue brief describes key features of effective integrated care programs and presents top policy considerations driving state investment in these programs.

Short URL: http://www.advancingstates.org/node/69991

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Managed and Integrated Care Bootcamp: Packaging Your Services: Telling Your Value Story

This interactive session, from n4a’s 2016 annual conference, helped participants learn how to tell their organization’s story and package their “products” in ways that will help them get noticed and appreciated by health care payers. Presenters included representatives from health plans who discussed what they look for in a “pitch” from a community-based organization seeking to market its services.

Short URL: http://www.advancingstates.org/node/69980

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Top 10 Recommendations to Strengthen Integrated Care: Lessons from California’s Dual Eligible Demonstration

This brief from the SCAN Foundation summarizes lessons learned and offers recommendations for improving integrated systems of care for people with Medicare and Medicaid, also known as dually eligible individuals. The brief draws from three years of California’s Cal MediConnect evaluation results.

Short URL: http://www.advancingstates.org/node/69833

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