A team of HMA colleagues including Sarah Barth, Sharon Silow-Carroll, Esther Reagan, Mary Russell and Taylor Simmons completed a study for the Medicaid and Children’s Health Insurance Program (CHIP) Payment and Access Commission (MACPAC) to examine care coordination requirements for several Medicare-Medicaid integrated care models.

The study’s final report, Care Coordination in Integrated Care Programs Serving Dually Eligible Beneficiaries – Health Plan Standards, Challenges and Evolving Approaches, is posted to the MACPAC website.

The final report details state and federal managed care contract requirements for care coordination, summarizes stakeholders’ perspectives on care coordination based on structured interviews, and highlights promising care coordination practices and challenges for ensuring effective care coordination for dually eligible beneficiaries.

Related blog posts:

• D-SNP 2021 Hospital and Skilled Nursing Facility Admission Data Sharing Requirements: States and Health Plan Opportunity to Support Care Transitions
• Advancing health equity and integrated care for rural dual eligibles
• State Efforts to Integrate Care Across Medicaid FFS LTSS and Medicare Advantage D-SNPs