Individuals who are dually eligible for Medicare and Medicaid often experience uncoordinated care across their medical, behavioral health, and long-term care needs. Care models that integrate Medicare and Medicaid benefits are designed to address this problem. There is increasing evidence on the impact of these models in improving health and cost outcomes, as well as newly-developed implementation tools designed to expand access to fully integrated care for this population.
This reference guide summarizes a set of curated resources to help key stakeholders — including health plans, providers, policymakers, and community-based organizations — better understand both the needs of the dually eligible population and emerging evidence and practical approaches for advancing Medicare-Medicaid integration. The guide is based on a comprehensive literature search conducted in September 2020 by the Center for Health Care Strategies and made possible through support from The John A. Hartford Foundation and The SCAN Foundation.
Resources are organized under topics related to improving integrated care models, including characteristics and needs of this population, evidence on integrated care programs, technical assistance tools for health plans, providers, and states, and policy considerations.