The Continuing Quest To Integrate Care For Dual-Eligible Enrollees

Area of Science:

• Health Policy
• Healthcare Management
• Public Health

Background:

• Integrated care models are crucial for managing complex health needs of dually eligible individuals.
• The current Medicare-Medicaid integrated care plan is concluding, creating a service gap.
• States must address the continuity of care for this vulnerable population.

Purpose of the Study:

• To outline the implications of the ending integrated care plan.
• To explore state-led strategies for future care models.
• To ensure seamless transitions for Medicare and Medicaid beneficiaries.

Main Methods:

• Policy analysis of current integrated care programs.
• Review of state-level planning initiatives.
• Stakeholder consultations on future service delivery.

Main Results:

• The discontinuation necessitates proactive state-level planning.
• Various state-specific approaches are emerging to replace the integrated model.
• Ensuring comprehensive benefits and coordinated services remains a priority.

Conclusions:

• States are actively developing new care models for dual eligibles.
• The transition requires strategic planning to maintain service quality and access.
• Future models aim to sustain integrated care principles.