Integrated Care Initiatives

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Engaging Medicare-Medicaid Enrollees: Insights from Three Financial Alignment Demonstration States

States are enrolling Medicare-Medicaid enrollees in financial alignment demonstrations sponsored by the Centers for Medicare & Medicaid Services. Since dual eligible individuals can opt out of the demonstrations, state policymakers are eager to engage individuals and retain them once enrolled. Doing so will ensure that dually eligible individuals have access to high-quality, integrated services. This webinar explored the lessons learned by three states that have implemented capitated integration models: Massachusetts, Ohio, and Virginia.



Descriptive Study of Three Disability Competent Managed Care Plans for Medicaid Enrollees

This report describes the organizational features of three disability competent health systems: Commonwealth Care Alliance in Massachusetts; Community Health Partnership) in Wisconsin; and Independence Care System in New York City. These programs integrate health and social services to deliver patient-centered care to Medicaid and Medicare beneficiaries with particularly complex chronic care needs. To provide program operators with useful information about these programs, the report details how staff deliver services and coordinate care for people with disabilities.



One Year into Duals Demo Enrollment-- Early Expectations Meet Reality

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In the latest post in the Policy Insights series from the Henry J. Kaiser Family Foundation, a new blog post highlights key challenges and trends emerging in states� demonstrations designed to better coordinate financing and health care services for millions of seniors and non-elderly people with significant disabilities who are dually eligible for both Medicaid and Medicare.



Global Payments: A Key Step toward Totally Accountable Care

A blog post from the Center for Health Care Strategies, Inc. arguing in support of global payment models for health care.



Navigating the Health Insurance Landscape-What is Next for Navigators, InPerson Assisters and Brokers

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What has been the effect of navigator and other in-person assistance programs? Has the role of brokers changed? What are some of the key policy and financing questions for in-person assistance programs looking forward? Are the privacy concerns of citizens being addressed by proper and effective confidentiality policies? A panel of experts addressed these and related questions at an August 5, 2014, Kaiser Family Foundation and the Alliance for Health Reform briefing.



Key Attributes of High-Performing Integrated Health Plans for Medicare-Medicaid Enrollees

The Commonwealth Fund supported the creation of PRIDE (PRomoting Integrated Care for Dual Eligibles), which is bringing together leading health care organizations to identify and advance strategies for providing high-quality and cost-effective care for Medicare-Medicaid enrollees and other high-need populations.



Financial Alignment Demonstrations for Dual Eligible Beneficiaries: A Look at CMS's Evaluation Plan

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The Henry J. Kaiser Family Foundation has released a new issue brief that describes the Centers for Medicare and Medicaid Services� plan to evaluate the demonstrations, via its contract with RTI International



Considerations for Integrating Behavioral Health Services within Medicaid Accountable Care Organizations

Medicaid accountable care organizations (ACOs) offer the potential to improve health care quality and control rising costs, particularly for complex, high-need beneficiaries. This brief outlines considerations to guide state Medicaid agencies in successfully integrating behavioral health services within ACOs.



Intensive Care Coordination Using High-Quality Wraparound for Children with Serious Behavioral Health Needs

This practical guide, made possible by the Centers for Medicare & Medicaid Services, profiles states and counties that have implemented intensive care coordination using high-quality wraparound for children and youth with serious behavioral health needs.



Investing in the Social Safety Net: Health Care's Next Frontier

A new Health Affairs blog post authored by participants in the Center for Health Care Strategies' Complex Care Innovation Lab focuses on the need to marry the nation's health and social safety nets to truly address social determinants of health issues at the ground level.



A State Policy Framework for Integrating Health and Social Services

This brief from The Commonwealth Fund, authored by the Center for Health Care Strategies, describes three essential components for integrating health - encompassing physical and behavioral health services and public health - and social services. These components are: (1) a coordinating mechanism; (2) quality measurement and data-sharing tools; and (3) aligned financing and payment.



You've Got Mail: Designing Enrollment Notices for a Dual Eligible Demonstration Roll Out

To date, five states have begun implementing a dual eligible demonstration and are sending notices eligible individuals to enroll in new Medicaid-Medicare Plans. Their experience in designing notices and coordinating the enrollment and consumer outreach process provides important information and insights for states and stakeholders preparing for implementation. This issue brief provides an overview of the four key elements of the notice design process and a guide to the content states and the federal government require each notice and outreach document to include.



Strategies to Facilitate Managed Care Implementation for Medicare-Medicaid Enrollees

Center for Health Care Strategies

Many states are working with health plans to develop managed care programs that integrate services for individuals dually eligible for Medicare and Medicaid or those receiving long-term services and supports. In doing so, states are creating early implementation strategies to smooth the transition of beneficiaries and providers from the fee-for-service environment into managed care. This brief describes strategies used by Medicaid agencies in four states to facilitate implementation of new managed care programs.



Roadmap to Better Care and a Healthier You

Coverage to Care Project

As part of a health literacy campaign called Coverage to Care, CMS has released this new consumer friendly document which includes 8 steps to help consumers and health care providers be informed about the diverse benefits available through their coverage and how to access care.



State-by-State ACA Fact Sheets

Updated to include FY13 data

HHS has updated its state-by-state Affordable Care Act fact sheets with data through FY13. The fact sheets provide data on the marketplace, Medicaid expansion, mental health coverage, health care workforce, and more.

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