Roughly 12 million Americans are eligible for both Medicare and Medicaid (e.g., dual eligibles). Dual-eligible individuals with long-term service and support (LTSS) needs often receive fragmented care, resulting in inefficiencies, unnecessary costs, and poorer outcomes. Many policymakers, health care providers, insurance executives, and consumer advocates argue that better integrating medical care with long-term supports and services (LTSS) can both save money and improve the well-being of frail elders and younger people with disabilities.

However, there has been limited empirical data to support integrated care. In a multi-year, multi-part project, LTQA sought to develop the “business case” that demonstrates the value of integrating long-term services and supports (LTSS) and medical care.




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