Medicare-Medicaid Integration

News

Preserving Integration For Dual Eligible Individuals After The End Of The Medicare-Medicaid Plan Model

ATI Advisory subject matter experts, Allison Rizer and Nils Franco, share data and insights in this articles as part of as part of this Health Affairs' Forefront series. They detail recent enrollment trends in dual eligible programs, the sunsetting of the Medicare-Medicaid Plan (MMP) model, and the changing role of the Medicare-Medicaid Coordination Office (MMCO). Read the full article for their recommendations for several near term approaches to preserve MMP successes.
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Characteristics of Medicare Fee-for-Service Beneficiaries and Providers Impacted by Proposed CY2024 HCC Model

On February 1, 2023, CMS released the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) that proposed several changes to the Hierarchical Condition Category (HCC) model.
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A Roadmap to Improve Integration for Dual Eligible Individuals: ATI’s Response to Congressional Request for Information

In response to Congress’ Request for Information to improve experiences for dual eligible individuals, ATI Advisory suggests key elements that would advance programmatic Medicare-Medicaid integration.
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Ensuring Equity and Fairness in Medicare Advantage Quality Measurement

The Medicare Health Outcomes Survey (HOS) aims to gather meaningful self-reported data from Medicare Advantage (MA) beneficiaries to measure health plan quality performance. As Congress and CMS seek to advance health equity and to better understand and quantify the quality of care received by Medicare beneficiaries, this report outlines recommendations to address the shortcomings of the HOS and modernize it to better reflect and understand the changing Medicare population.
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News

Is Medicare-Medicaid Integration Possible In A Fee-for-Service Environment?

Allison Rizer outlines in Health Affairs how states using Medicaid FFS to serve dual-eligible individuals can create a more integrated, financially sustainable program design.
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News

Expanding States’ Medicaid Capacity To Meet The Needs Of Medicare Beneficiaries, Including The Dually Eligible

Brianna Ensslin Janoski and Allison Rizer share their insights on California's Office of Medicare Innovation and Integration in Health Affairs.
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