Medical Care at Home Comes of Age
Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.
Brief/Report
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All Resources
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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
Person-Centered Engagement at the Organizational Level
Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.
Implementation Tool
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
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
Integrated Care Programs for Dually Eligible Individuals in the Era of COVID-19: Response Efforts and Policy Recommendations
Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.
Brief/Report
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
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare and Medicaid Beneficiaries
Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.
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
High-Cost Dual Eligibles' Service Use Demonstrates the Need for Supportive and Palliative Models of Care
Describes the needs of distinct subpopulations within the dually eligible population with highly complex needs, along with opportunities for tailored interventions that may reduce health care spending.
Peer-Reviewed Article
Reimbursement for Evidence-Based Health Promotion Programs in the Community
Details funding opportunities and successful approaches in the adoption of evidence-based health promotion and disease prevention programs within community-based organizations.
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
A Systematic Review of Intensive Outpatient Care Programs for High-Need, High-Cost Patients
Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.
Peer-Reviewed Article
Effect of a Community-Based Nursing Intervention on Mortality in Chronically Ill Older Adults: A Randomized Controlled Trial
Indicates that a community-based nurse care management model reduced all-cause mortality for older adults with chronic conditions.
Peer-Reviewed Article
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
Development and Implementation of a Complex Health System Intervention Targeting Transitions of Care from Hospital to Post-Acute Care
A complex care transitions pilot designed through a stakeholder-driven process led to decreased hospital utilization and costs.
Peer-Reviewed Article