To improve beneficiary care and reduce unnecessary expenditures, a number of states have developed programs and initiatives aimed at improving the coordination and management of care for dual eligibles—beneficiaries enrolled in both Medicaid and Medicare for their health care services....

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.

This article examines successful models used by hospital emergency departments, health department outpatient clinics, and other nonprimary care providers for testing, linking, and engaging newly diagnosed HIV-positive racial and ethnic minorities into medical care. Effective linkage programs are...

Summary for publication Considerations in Performance Measurement and ValueBased Purchasing for Providers Treating Vulnerable Patients

Policymakers, private-sector coalitions, and individual health care leaders are heavily engaged in planning future health information technology. This brief highlights the experiences of eight pioneering projects completed under the Agency for Healthcare Research and Quality Transforming...

This brief, prepared by Mathematica and the Center for Health Care Strategies for the Centers for Medicare & Medicaid Services Integrated Care Resource Center, explores promising state options for integrating physical and behavioral health services for high-need, high-cost Medicaid populations...

Health plans and employers rarely work together to address racial and ethnic health care disparities in the workforce. However, these collaborations can strengthen programs to reduce disparities. This policy brief draws on interviews with large employers, health plan representatives, government...

This brief from the Integrated Care Resource Center (ICRC) reviews primary care case management and related FFS models to gather insights into key program design elements needed to manage care for high-need, high-cost beneficiaries with multiple conditions.