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.

This report for the New York State Health Foundation provides recommendations for New York State as it works to improve the coordination and integration of care dual eligibles receive through Medicare and Medicaid. Key recommendations include using the federal dual eligible demonstration to...

This brief from the Integrated Care Resource Center (ICRC) reviews primary care case management and related FFS models to gather insights into key program design elements needed to manage care for high-need, high-cost beneficiaries with multiple conditions.

This technical assistance brief from the Integrated Care Resource Center (ICRC) provides basic information on the Medicare program, the services it covers, and the process used to set rates.

This report for the New York State Health Foundation provides recommendations for New York State as it works to improve the coordination and integration of care dual eligibles receive through Medicare and Medicaid. Key recommendations include using the federal dual eligible demonstration to...

The new Medicare Part D benefit, which began on January 1, 2006, expanded Medicare to include prescription drugs, and it required beneficiaries to change how they interact with the program. Past experience with low enrollment in a variety of programs designed to aid low-income Medicare...

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...