The more than 10 million individuals enrolled in both Medicare and Medicaid (known as Medicare-Medicaid enrollees or dually eligible beneficiaries) are among the nation’s highest-need populations. Many Medicare-Medicaid enrollees receive fragmented and uncoordinated care from two distinct programs with separate benefits and enrollment policies. Integrating care and services into a single program or coordinated delivery system is essential to improving the quality of care and lowering costs for this high-need population.
This online toolkit, developed through support from The Commonwealth Fund and The SCAN Foundation, is designed to help states exploring options to integrate care for Medicare-Medicaid enrollees through a variety of vehicles, including financial alignment demonstrations, Dual Eligible Special Needs Plans, managed long-term services and supports programs, etc. The toolkit houses practical resources for:
States, health plans, providers, and stakeholders can use the toolkit to learn more about designing and implementing new models that integrate care and services for dually eligible beneficiaries.
The Center for Health Care Strategies (CHCS) is a nonprofit organization dedicated to advancing access, quality, and cost effectiveness in publicly financed care. CHCS works with state and federal agencies, health plans, providers, and consumer groups to design programs that better serve high-need and high-cost populations.
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