Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS

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This policy brief provides a comparison of CMS’ finalized memoranda of understanding with California, Illinois, Massachusetts, Ohio, and Virginia to test a capitated model and with Washington to test a managed fee-for-service (FFS) model to integrate care and align financing for dual-eligibles. These 2013 demonstrations will introduce changes in the care delivery systems and will test a new system of payments and financing arrangements among CMS, the states and providers.
Medicare; demonstration; memorandum of understanding (MOU); capitated; fee-for-service; area agencies on aging; Medicare Advantage Hierarchical Condition Categories Model; HCBS; cost-saving; care delivery systems; payment systems


Henry J. Kaiser Family Foundation
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Washington, DC 20005

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