Health Reform Hub

Integrated Care Initiatives

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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.



CMS Announces new Medicaid Innovation Accelerator Program

The Medicaid Innovation Accelerator Program (IAP) is a new technical assistance program launched by the Centers for Medicare & Medicaid Services (CMS). The goal of IAP is to improve health and health care for Medicaid beneficiaries by supporting states' efforts to accelerate new payment and service delivery reforms.



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.



A Better Path to Health: Olivia's Story

The Voices for Better Health program at Community Catalyst has released a new video that drives home the power of effective long-term services and supports (LTSS) coordination. The video follows the story of Olivia Richards, a Boston resident, whose quality of life has improved by working with her Independent Living Long-Term Services and Supports Coordinator through the One Care program, the Massachusetts dual eligible demonstration project. As these demonstration projects roll out across the country, we must place high priority on LTSS as a means of helping older adults and people with disabilities live with dignity and as much independence as possible.



ACO Health Data-Sharing Case Study

Hennepin Health is an accountable care organization serving adult Medicaid expansion enrollees with complex needs in Minneapolis, Minnesota. A central premise of Hennepin Health - a partnership including Hennepin County's health system and hospital; outpatient clinics; human services and public health department; and managed care organization - is to address social determinants to improve health outcomes and lower costs. In this blog post, the deputy director of Hannepin Health outlines first-hand solutions and lessons for maximizing data-sharing while balancing the need for patient privacy.



Archived Webinar: Overview of the ACA and what it means for Michigan

AUCD staffer Rachel Patterson presented this webinar for the Developmental Disabilities Institute at Wayne State University in Michigan about what's changing (and what's not) for people with disabilities in Michigan due to the Affordable Care Act.



UPDATED: State Demonstration Proposals to Integrate Care and Align Financing and/or Administration for Dual Eligible Beneficiaries

Website  from

This map shows the current status of the state demonstration proposals to integrate care and align financing for beneficiaries eligible for both Medicare and Medicaid. Over 9.1 million seniors and younger people with significant disabilities are dually eligible for both programs, and as many as 2 million of them may be included in the demonstrations. Dual eligible beneficiaries are among the poorest and sickest beneficiaries covered by either program and consequently account for a disproportionate share of spending in both programs.



Webinar Series on Meaningful Consumer Engagement in Duals Demonstrations

The Meaningful Consumer Engagement Webinar Series, hosted by the Centers for Medicare & Medicaid Services (CMS) in collaboration with The Lewin Group and Community Catalyst, is based on The Meaningful Consumer Engagement toolkit, developed by Community Catalyst. The webinars will be helpful to health plans as they seek to enhance the role of the consumer in health plan decisions and administration. The webinars are also intended for frontline community partners and delivery staff such as care managers, member service representatives and home care providers. They will be practically focused and participatory in nature.



Health Care Toolkit for State Budget Officers: Resources for Implementing the Affordable Care Act and other Health Care Reforms

State budget officers provide a unique perspective on how the crucial delivery of a key service such as health care fits into the framework of state budgets. This report from the National Association of State Budget Officers looks at five core areas pertinent to state budgets as a means to analyze the implementation of the Affordable Care Act and other health reforms.

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