Event Resources


Care Delivery

Consumer Engagement

Financial Alignment Initiatives

Financing and Policy

General Information

Learning Collaborative

Measuring Quality

Person-Centered Care

Resource Portal

Speaker Resources

Care Delivery

Delivery System Reform: Improving Care for Individuals Dually Eligible for Medicare and Medicaid

2016
Bipartisan Policy Center
Research on how to improve delivery systems to better integrate Medicare and Medicaid services, improve quality and access to services, and address social determinants of

From the Beneficiary Perspective: Core Elements to Guide Integrated Care for Dual Eligibles

2010
Center for Health Care Strategies 
The Commonwealth Fund

This brief details nine core program design elements that are critical for achieving high-quality, patient-centered, and cost-effective care for dual eligibles and illustrates how these core elements look from the beneficiary perspective.

State Insights on Refining Integrated Care for Dually Eligible Beneficiaries

2016
Center for Health Care Strategies 
The Commonwealth Fund
The SCAN Foundation
This brief highlights insights from states that are fine-tuning their integrated care programs. The refinements described in the brief can help others design their own integrated care programs to meet beneficiary needs.

Key Attributes of High-Performing Integrated Health Plans for Medicare-Medicaid Enrollees

2014
Center for Health Care Strategies 
The Commonwealth Fund
This brief describes a framework outlining the characteristics of high-performing health plans which can help states and health plans establish the elements essential to successfully providing coordinated, person-centered, integrated care that meets the needs of individuals with complex needs.

Innovations in Integration: State Approaches to Improving Care for Medicare-Medicaid Enrollees

2013
Center for Health Care Strategies 
The Commonwealth Fund
The SCAN Foundation
This brief explores the innovative design approaches that have been proposed by select states participating in the CMS State Demonstrations to Integrate Care for Dual Eligible Individuals and examines common issues states face in creating integrated programs.

Improving Healthcare for High-Need Patients

Peterson Center on Healthcare
This issue brief offers an overview of the "state of play" in addressing the challenges of high-need patients. It sets the stage for a research effort designed to find examples of excellence, learn what makes them work, and facilitate the spread of replicable high-performance models on a national scale.

Consumer Engagement

Case Study of the One Care Implementation Council

2018
Center for Consumer Engagement in Health Innovation
LeadingAge LTSS Center at Umass Boston
This review of the One Care Implementation Council is based on key informant interviews and a web-based material review. It is intended to be a resource for policymakers, health care leaders, advocates and program enrolees nationwide who want to develop or enhance similar Councils in their own states.

Financial Alignment Initiatives

Top 10 Recommendations to Strengthen Integrated Care: Lessons from California's Dual Eligible Demonstration

2018
The SCAN Foundation
The SCAN Foundation's top ten recommendations for improving integrated systems of care for people with Medicare and Medicaid, also known as dually eligible individuals.

Financial Alignment Initiative for Beneficiaries Dually Eligible for Medicaid and Medicare

2018
MACPAC
This issue brief describes the overall design of the initiative and compares key provisions of the approaches in the capitated model demonstrations in 11 states. It provides updated information on enrollment, plan and state participation in the demonstration, and changes in payment methodologies.

State Financial Alignment Initiative Demonstration Fact Sheets

2018
MACPAC
These fact sheets provide a brief summary of each capitated model.

Results from Focus Groups with Enrollees in the Financial Alignment Initiative Demonstration

2015
MACPAC
This presentation reviews focus group findings on Financial Alignment Initative participants' views of the enrollmentp rocess, their knowledge of the program, communication issues, and what they reported about care coordiantion and access to services.

Update on the Financial Alignment Initiative Demonstration

2015
MACPAC
Tim Engelhardt provides an update on the status of CMS's Financial Alignment Initiative demonstration for beneficiaries who are dually eligible for Medicaid and Medicare.

Update on Demonstrations for Dual-Eligible Medicare-Medicaid Beneficiaries

2017
Bipartisan Policy Center
This evaluation of the Financial Alignment Demonstrations provides recommendations on how to revise law and program guidelines to improve quality of care and increase savings and availability of services.

Financial Alignment Initative Evaluations

Medicare-Medicid Coordination Office
Evaluations of the financial alignment initiatives, completed in partnership with RTI International.

Experiences of Consumers with Managed Long-Term Services and Supports Programs: Insights from Dual Eligible Enrollees in Massachusetts and Ohio.

2017
Center for Consumer Engagement in Health Innovation
This report presents the results of focus groups conducted in 2015 and 2016 in Ohio and Massachusetts with dually eligible consumers enrolled in health plans providing managed LTSS through their state demonstration.

Cal MediConnect Evaluation and Polling Data Update

2018
University of California, San Francisco
The SCAN Foundation
In June 2018, the University of California, San Francisco completed the 2018 wave of the Cal MediConnect (CMC) Rapid Cycle Polling Project, which included over 2,900 interviews with people who were dually eligible for Medicare and Medi-Cal. The 2018 survey follows three groups: 1) those enrolled in CMC; 2) those who opted out of the program and who live in CMC demonstration counties; and 3) those who live in non-CMC demonstration counties.

Beneficiaries Respond to California's Program to Integrate Medicare, Medicaid, and Long-Term Services

2018
Health Affairs
Results of a postenrollment telephone survey for Cal MediConnect showed increased satisfaction with benefits, improved ratings of quality of care, fewer acute care visits, and increased personal care assistance hours over time. Enrollees also had somewhat better prescription medication access and lower unmet needs for personal care, compared to the comparison group.

Financing and Policy

Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States

2017
Center for Health Care Strategies
This toolkit, developed with support from The SCAN Foundation and the Milbank Memorial Fund, provides a targeted menu of LTSS reform strategies adopted by state innovators that may be replicated by other states. It identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance their LTSS reforms.

A Policy Roadmap for Individuals with Complex Care Needs

2018
Bipartisan Policy Center
This report draws from six previous reports to identify a roadmap of policy solutions that can begin to tackle the barriers to financing and delivering high-quality, person- and family-centered, coordinated health and social services and supports to individuals with complex care needs.

Implementing Chronic Care Provisions in 2018 Budget Holds Promise for Chronically Ill Patients

2018
Bipartisan Policy Center
This new Bipartisan Policy Center brief explores the key decisions the Centers for Medicare and Medicaid Services (CMS), health plans, and states will make in determining how best to implement the chronic care provisions included in the 2018 Budget.

General Information

Chapter 9: Managed Care Plans for Dual-Eligible Beneficiaries

2018
MEDPAC

This analysis examines the use of managed care for dual eligibles and focuses on new models of care, the growing use of Medicaid managed care, health plans and three potential policies to encourage the development of integrated plans.

Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid

2018
MACPAC
MEDPAC
The data book presents information on demographic and personal characteristics, expenditures, and health care utilization of individuals who are dually eligible for Medicare and Medicaid coverage.

Learning Collaborative

Promoting Integrated Care for Dual Eligibles (PRIDE)

2013
Center for Health Care Strategies 
The Commonwealth Fund
Through PRIDE, made possible by The Commonwealth Fund, CHCS is helping health plans to further the viability and increase the impact of integrated care models for dually eligible beneficiaries.

Implementing New Systems of Integration for Dually Eligible Enrollees (INSIDE)

2017
Center for Health Care Strategies 
The Commonwealth Fund
The SCAN Foundation
The SCAN FoundationINSIDE supported and connected states, federal officials, health plans, and provider partners to advance models that integrate Medicare and Medicaid. The tools and resources developed to support the states participating in INSIDE are available to help additional states pursue integrated care.

Measuring Quality

Ensuring Quality: The Path to Creating Measures and Engaging Stakeholders

2016
The SCAN Foundation
This policy brief provides an overview of the various types of quality measures and how they were created, why quality measures matter when caring for adults with complex care needs in integrated systems, and how stakeholders can influence the quality measure development process.

Assessing Success in Medicare-Medicaid Integration: A Review of Measurement Strategies

2015
Center for Health Care Strategies
The Commonwealth Fund
This brief details success stories from two health plans participating in PRIDE, a national effort supported by The Commonwealth Fund. It examines the program elements behind these successes and the potential for existing measures - as well as measures currently in development - to accurately assess the performance of integrated care programs.

Person-Centered Care

Ten Questions to Better Understand and Serve Your Complex Care Population

2018
The SCAN Foundation
This new policy brief highlights 10 questions health plans and systems nationwide could consider using in their risk assessments to deliver more cost-effective, quality care.

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

2016
The SCAN Foundation
This primer document describes the Essential Attributes of a high-quality system of care that supports system stransofrmation and evaluation.

The Promise of Coordinated Care

The SCAN Foundation
Medicare-Medicaid individuals in California share their stories on the positive impact that coordinated care has on their quality of life. Each story showcases a human connection and details the specific ways that a person-centered care approach can make a difference.

Resource Portal

Integrated Care Resource Center

The Centers for Medicare & Medicaid Services
Medicare-Medicaid Coordination Office
The Integrated Care Resource Center helps states to develop integrated care programs that coordinate medical, behavioral health, and long-term services and supports for individuals who are dually eligible for Medicare and Medicaid. ICRC is a national initiative of the Centers for Medicare & Medicaid Services' (CMS) Medicare-Medicaid Coordination Office.

Resources for Integrated Care

Resources for Integrated Care
Resources for Integrated Care works with providers, health plans, advocates, and other subject matter experts to identify and disseminate promising practices and actionable tools to integrate and coordinate care for beneficiaries dually eligible for Medicare and Medicaid.

The Better Care Playbook

Institute for Healthcare Improvement
The Commonwealth Fund
The John A. Hartford Foundation
Peterson Center on Healthcare
The Robert Wood Johnson Foundation
The SCAN Foundation
Milbank Memorial Fund

The Playbook provides users with the best available knowledge about promising approaches to improve care for people with complex needs and encourages users to test best practices in their own care settings.

similar Councils in their own states.

Speaker Resources

Persistence and Drivers of High-Cost Status Among Dual-Eligible Medicare and Medicaid Beneficiaries: An Observational Study

2018
Authors: Jose F. Figueroa, Zoe Lyon, Xiner Zhou, David C. Grabowski, and Ashish K. Jha
An observational study to determine what proportion of the dual-eligible Medicare and Medicaid population has persistently high costs.

PACE at a Glance

PACE Southeast Michigan
PACE services by the numbers.

PACE Program Overview

PACE Southeast Michigan
Provides a description of PACE funding and how thep rogram keeps Seniors independent.

Program of All-Inclusive Care for the Elderly: A comprehensive, Cost-Effective Alternative for Frail Elderly Individuals

2014
North Carolina Medical Journal
Describes the PACE program and its relationship to Medicare and Medicaid.

Hospitalizations in the Program of All-Inclusive Care for the Elderly

2014
Journal of the American Geriatrics Society
Demonstrates that PACE programs have lower hospitalizations compared to other dual-eligible programs

Thought Leaders, Griffin Myers

2018
Griffin Myers, MD, MBA
This site houses additional work by Griffin Myers, MD, MBA.