There is a limited but growing body of evidence examining the effects of models to integrate care for beneficiaries who are dually eligible for Medicare and Medicaid on spending and outcomes for these individuals. Although the federal government and the states are testing a variety of models, the primary models for integrating Medicare and Medicaid services include (1) aligning Medicare Advantage dual eligible special needs plans with Medicaid managed long-term services and supports; (2) the Financial Alignment Initiative (FAI); and, (3) the Program of All-Inclusive Care for the Elderly.
To assess the status of the research, MACPAC contracted with the State Health Access Data Assistance Center at the University of Minnesota to compile an inventory of existing evaluations of integrated care models. This presentation outlines the key findings from those evaluations and proposes areas for future work on integrated care.