In October 2012, the Center for Medicare & Medicaid Innovation of the Centers for Medicare & Medicaid Services (CMS), in a unique collaboration between public and private health care payers, launched the Comprehensive Primary Care (CPC) initiative to improve primary care delivery in seven...

This study examines Medicaid pharmacy benefit use and spending among beneficiaries dually eligible for Medicare and Medicaid in 10 states by analyzing 1995 enrollment and claims data from a new 12-state database. The study finds that dual-eligibles are relatively high users of the Medicaid...

This study reviews prior pilot projects and demonstrations for dual eligibles—those receiving both Medicare and Medicaid benefits—and finds support for modest Medicare savings through well-targeted interventions. The study cites a small number of fully integrated, capitated managed...

Summary for publication Cash and Counseling Early Experiences in Arkansas

As states consider options for incorporating disease management programs into Medicaid, they can benefit from Medicare's experience in this area. This four-page issue brief summarizes a study of best practices in care coordination for people with chronic illnesses and suggests key factors for...

This report evaluated Mercy Medical Center North Iowa and Health Quality Partners, two providers in the Medicare Coordinated Care Demonstration, a rigorous multiyear evaluation sponsored by the Centers for Medicare & Medicaid Services (CMS) to determine if care coordination improves quality of...

Examines best practices in care coordination for Medicare beneficiaries with chronic illnesses and recommends design options for a congressionally mandated demonstration.