LTQA Symposium: Integrated Care for Individuals with Dual Eligibility, Part I

According to the CMS Medicare-Medicaid Coordination Office (MMCO), less than 10 percent of full-benefit dually eligible individuals were enrolled in an integrated care program as of June 2017. The remaining “full Duals” are enrolled in separate Medicare and Medicaid coverage and must navigate a complex and confusing world of overlapping coverage and disconnected services. This fragmented care for dual eligible individuals delivered by unaligned fee-for-service (FFS) systems results in greater administrative burdens, higher costs, greater beneficiary confusion, and significant gaps in quality of care.

On December 9, LTQA hosted a Symposium on Advancing Integrated Care for Individuals with Dual Eligibility.  This Symposium brought together a broad array of stakeholders from LTQA’s member community and key thought leaders to discuss how we can achieve better care integration for dual eligible individuals. 

Through expert panel presentations and roundtable discussions, attendees: 

• highlighted key elements of successful models,
• discussed consumer experiences with integrated care, 
• addressed barriers to implementation and improvement of integrated models, and 
• provided input on consensus-based draft goals and principles for integrated care. 

Event Details: 

• Agenda
• Speaker Bios
• Participant List
• Draft Goals and Principles for Integrated Care

Presentation Slides: 

• What is Integrated Care, and Why Does It Matter?
• Draft Goals and Principles for Integrated Care
• Exploring Opportunities to Advance Medicare-Medicaid Integrated Care
• What Matters to Consumers?
• Keynote Speaker: Shaunta Vaughn
• FIDA, FIDE, and the New York Integrated Care Experience

Additional Resources: 

Community Catalyst:

• In Their Words: Consumers’ Vision for a Person-Centered Primary Care System (Nov 2019)
• The Role of the Consumer Advisory Councils in the Financial Alignment Initiative
• Recommendations on the Future of Care for Medicare-Medicaid Enrollees
• Improving Care for Individuals Dually Eligible for Medicare and Medicaid: Preliminary Findings from Recent Evaluations of the Financial Alignment Initiative

National MLTSS Health Plan Association:

• A Proposal to Advance Integration for Dual-Eligible Beneficiaries

ADvancing States:

• The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

Commonwealth Care Alliance: 

• Center to Advance Consumer Partnership
• CACP Early Adopter Special Solicitation