LTQA has initiated a new study aimed at developing the “business case” for integrating LTSS and medical coverage in health plans. The study will provide a description and analysis of various approaches to LTSS integration and will explore the interaction of medical and LTSS coverage integration and the outcomes and overall cost of care. LTQA has selected 11 “exemplar” integrated plans for case studies to be completed over the next year. The plans reflect a wide range of states, approaches and populations. The “business case” study is intended to develop a framework for describing and analyzing LTSS integration and establish a foundation for measuring the impact of LTSS integration on overall health care costs and outcomes. LTQA is grateful to the Gary and Mary West Foundation for its support of this project.