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.
Highlights experiences from the Center to Advance Palliative Care’s Medicare Advantage and ACO Learning Communities with strategies for improving serious illness care, as well as resources that health plans and ACOs can use to drive better value and improve the quality of life for those living with serious illness.
Highlights opportunities for long-term care providers to leverage federal and state flexibilities to adopt new ways of delivering services to older adults and people with complex needs, as well as addressing barriers to care created by the COVID-19 pandemic.
Highlights how the Commonwealth Fund's social determinants of health ROI calculator can help community-based organizations and health system partners integrate nonmedical services in a financially sustainable way.
Describes how two health plans — Anthem, Inc. and Highmark Blue Cross Blue Shield —organizations introduced a palliative care measure into their hospital value-based payment programs, which has led to significant improvements in access to palliative care for their seriously ill members.
Details the proactive approach of Cambridge Health Alliance, a public ambulatory care and hospital system in the Boston area, to initiate goals of care conversations with high-risk patients in their respiratory clinic.