Medicare

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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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Improving Care And Managing Costs For Dual Eligibles

This report presents highlights from a National Governor's Association Roundtable held in December 2018. At the roundtable, state and federal officials, national experts, and industry and consumer experts discussed challenges and opportunities for states to improve care and manage costs for dual eligibles. Based on the conversation at this event, NGA identifies key considerations for governors and their staff.

Short URL: http://www.advancingstates.org/node/71949

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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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Valuing the Invaluable: 2019 Update Charting a Path Forward

The latest report in the AARP Public Policy Institute’s Valuing the Invaluable series estimates the economic value of unpaid family caregiving at $470 billion in 2017. The report also explores family caregiving trends, highlights federal and state policy changes since the release of the previous Valuing the Invaluable report in 2015, and offers further policy recommendations to enhance the well-being of caregiving families.

Short URL: http://www.advancingstates.org/node/71830

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Adding a Dental Benefit to Medicare: Addressing Racial Disparities

This brief describes the racial disparities in access to oral health and oral health outcomes. Coverage is a key factor in reducing the existing disparities. This brief proposes adding oral health as a Medicare benefit as a potential solution. It also proposes additional policy options aimed at reducing disparities beyond expanding oral health coverage,

Short URL: http://www.advancingstates.org/node/71816

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Medicare Advantage Plans and Supplemental Benefit Flexibility

The Urban Institute conducted a series of interviews with Medicare Advantage plans, Medicare Advantage experts, and social service providers to better understand how health plans were responding to CMS’s new flexibility with regards to supplemental benefits. This report presents the findings from these interviews. It also explores possible policy changes to further support supplemental benefits and describes what funding and resources are available for state to administer these benefits.

Short URL: http://www.advancingstates.org/node/71772

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Enticing Dually Eligible Beneficiaries to Enroll in Integrated Care Plans

The Financial Alignment Initiative (FAI) is intended to improve the quality of care and reduce spending for low-income people who are dually eligible. Mathematica researchers conducted a study to identify reasons for the varying participation rates across states. This brief explores the details of two major factors: passive enrollment and demonstration/MLTSS alignment.

Short URL: http://www.advancingstates.org/node/71771

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Medicare Plan Finder: Usability Problems and Incomplete Information Create Challenges for Beneficiaries Comparing Coverage Options

The GAO released a report to the Chairman of the Committee on Ways and Means summarizing findings of a survey sent to State Health Insurance Assistance Programs (SHIP) directors about the usability of the Medicare Plan Finder (MPF) website. The MPF website is a resource for comparing Medicare coverage options to help beneficiaries make informed decisions about their coverage. The report also includes other areas of improvement to make the website more user-friendly.

Short URL: http://www.advancingstates.org/node/71651

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