Accountable Care Organization Care Transformation Toolkit
Provides practical steps for current or potential future Medicare accountable care organizations to transform the delivery of care.
Implementation Tool
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All Resources
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Medicare Advantage Supplemental Benefit Flexibilities: An Early Assessment of Adoption and Policy Opportunities for Expanded Access
Examines the early implementation of Medicare Advantage expanded supplemental benefits, along with policy considerations to promote plan adoption and beneficiary access to these benefits.
Brief/Report
Lessons Learned from the Transition from Volume to Value
Describes factors that support health care organizations in transitioning from volume- to value-based payment.
Peer-Reviewed Article
Medicare-Medicaid Integration: A Reference Guide to Emerging Evidence and Technical Assistance Tools
This reference guide summarizes a set of curated resources to help key stakeholders better understand both the needs of the dually eligible population and emerging evidence and practical approaches for advancing Medicare-Medicaid integration.
Implementation Tool
A Pathway to Full Integration of Care for Medicare-Medicaid Beneficiaries
Recommended care models and policies to improve integrated care for dually eligible individuals at the state level.
Brief/Report
Serving People with Severe Mental Illness who are Dually Eligible for Medicare and Medicaid
Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.
Peer-Reviewed Article
Strategies for Hiring and Training Care Managers in Integrated Programs Serving Medicare-Medicaid Beneficiaries
Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.
Implementation Tool
Effects of Integrating Care for Medicare-Medicaid Dually Eligible Seniors in Minnesota
Examines the potential for Minnesota’s integrated care model to lower use of hospital care and increase use of primary care and community-based services for dually eligible older adults.
Peer-Reviewed Article
Integrating Care for Dually Eligible Beneficiaries: Policy Issues and Options
Details the landscape of integrated care models and identifies policy recommendations to increase the availability of integrated care for dually eligible individuals.
Brief/Report
Promoting Integration in Dual-Eligible Special Needs Plans
Identifies policy opportunities to improve the level of Medicare-Medicaid integration in dual-eligible special needs plans.
Brief/Report
Comparing Care for Dual-Eligibles across Coverage Models: Empirical Evidence from Oregon
Explores different characteristics of dually eligible individuals that have different coverage types, as well as the impact of aligned Medicare and Medicaid benefits to improve quality of care and utilization outcomes.
Peer-Reviewed Article
Starting from Square One: Considerations for States Exploring Medicare-Medicaid Integration
Poses key questions to help states new to Medicare-Medicaid integration assess readiness for integration and select an achievable integration approach.
Brief/Report
State Pathways to Integrated Care: Exploring Options for Medicare-Medicaid Integration
Outlines steps states can take to advance Medicare-Medicaid integration depending on policy goals, internal capacity, and delivery system structures.
Implementation Tool
The Role of Social, Cognitive, and Functional Risk Factors in Medicare Spending for Dual and Nondual Enrollees
Details how dually enrolled beneficiaries have significantly higher levels of comorbidities and higher costs of care than their non-dually enrolled counterparts.
Peer-Reviewed Article
The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies
Highlights early findings demonstrating that Medicare-Medicaid integration can improve beneficiary experience and health outcomes, increase program efficiencies, and improve Medicaid program management.
Brief/Report
Integrating Care for Dually Eligible Beneficiaries: Background and Context
Summarizes the characteristics of dually eligible individuals, integrated care models, and available evidence on the impact of these models.
Brief/Report
Providing Non-Medical Supplemental Benefits in Medicare Advantage
Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.
Brief/Report
Expanded Medicare Advantage Supplemental Benefits: Offering Flexibility to Support High-Need Medicare Beneficiaries
Explored considerations for health plan adoption and implementation of expanded supplemental benefits.
Webinar
Medicare Advantage Supplemental Benefit Flexibilities: Adoption of and Access to Newly Expanded Supplemental Benefits in 2020
Analysis of expanded supplemental benefit adoption for Medicare Advantage enrollees
Brief/Report
Association of Medicare Advantage Penetration with Per Capita Spending, Emergency Department Visits, and Readmission Rates Among Fee-for-Service Medicare Beneficiaries with High Comorbidity Burden
Growth in Medicare Advantage plans linked to decreased cost and utilization for high-need, high-cost fee-for-service Medicare beneficiaries with multiple chronic conditions.
Peer-Reviewed Article