Patients in Medicare HMOs who experience strokes are more likely to be discharged to nursing homes and less likely to go to rehabilitation facilities following the acute event. However, they have similar survival patterns compared with comparable patients in FFS settings after adjusting for...

This report, which found that the Medicare risk program for HMOs did not save money for the federal government, and in fact cost more than if enrollees had not joined HMOs, touched off a fierce debate about payment rates and mechanisms for Medicare managed care that continues today. The report...

This article analyzed the experiences of the School of Medicine’s care-management program as it took part in the Medicare Coordinated Care Demonstration, with the goal of reducing hospitalizations and Medicare spending or improving quality while remaining cost neutral. The study showed that...

This study compares key patient outcomes at Brand New Day, a Medicare SNP for dual eligibles with severe mental illness, under two alternatives—routine care (services routinely provided at the plan before the study) and enhanced care (more frequent or more intensive services)—for...

We assessed transitions from Medicare-only to Medicare-Medicaid enrollment (MME) in 2009, examining variations in transition rates by age group, in use of long-term care (LTC) services, and across states.

This brief from the Integrated Care Resource Center (ICRC) discusses low-cost, low-administrative burden approaches in four categories: (1) stakeholder engagement; (2) training and education of providers; (3) information exchange; and (4) opportunities in capitated Medicaid managed care.

This report focuses on the medical and long-term care expenditures for Medicaid beneficiaries who transition from institutional to community-based long-term services and supports (LTSS) and how those expenditures change after the transition. An initial analysis of expenditures finds evidence...

This brief discusses the key components of existing disease management and care management programs that could be incorporated into integrated care programs for Medicare-Medicaid enrollees and other high-cost, high-need Medicaid beneficiaries.