This articles examines interim impacts of a disease management demonstration for Medicare fee-for-service beneficiaries also enrolled in Medicaid (dual eligibles). The study randomly assigned dual eligibles with congestive heart failure, coronary artery disease, and/or diabetes to treatment or...

This chartbook highlights national and state-by-state data on Medicaid prescription drug use and expenditures for 2005 by beneficiary characteristics (age, sex, and race), basis of eligibility (children, adults, disabled, and aged), and type of drug (brand vs. generic, top 10 drug groups, top 7...

Before Medicare Part D, Congress authorized the Medicare disease management demonstration to evaluate whether disease management programs—in conjunction with a comprehensive prescription drug benefit—could improve health outcomes and reduce Medicare expenditures. The demonstration...

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.