The Commission continued its discussion of how to raise the bar on integrated care for people who are dually eligible for Medicaid and Medicare. In 2020, 12.3 million individuals were dually eligible for these programs; most individuals are eligible for full Medicaid benefits. However, only about 10 percent of dually eligible beneficiaries were enrolled in integrated care models in 2019. Building on the discussion in October 2021, the Commission discussed an incremental approach that starts with requiring each state to develop an integrated care strategy.
The presentation outlined two potential policy recommendations for inclusion in MACPAC’s June report to Congress. The first recommendation would require each state to develop a strategy. The second recommendation would provide additional federal funding to support states in developing the strategy. The presentation also discusses key components of an integrated care strategy for the Commission’s consideration.