Since enacting comprehensive health care reform in 2003, Maine's Dirigo Health program has helped expand coverage for low- and moderate-income individuals. By September 2006, about 16,100 individuals were enrolled in two coverage initiatives—DirigoChoice, a subsidized insurance product,...

Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare Advantage plan that serve beneficiaries dually enrolled in Medicare and Medicaid. To operate in a state, D-SNPs must have a contract with the state to facilitate coordination of Medicare and Medicaid services for enrollees,...

States seeking to better integrate care for Medicare-Medicaid enrollees need to understand Medicare benefits and enrollee cost-sharing provisions in order to better structure and coordinate the Medicaid beenfits they will be offering to these enrollees. This technical assistance brief provides...

This chartbook presents highlights and key comparisons from the statistical compendium on Medicaid pharmacy benefit use and reimbursement in 2009 that Mathematica prepared for CMS. Mathematica has prepared similar compendiums and chartbooks for 1999 and for each year from 2001 to 2009. The 2009...

Improving the ability of the long-term care system to meet the needs of an aging population is at the top of the nation’s policy agenda. This issue brief describes the demographic characteristics of vulnerable adults—those at significant risk of needing long-term care services in...

This technical assistance brief explores ways of improving the coordination of these overlapping benefits in the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative’s capitated model demonstrations.