Over the past two years, MACPAC has been focused on models for improving the integration of care for the 12.3 million Americans who are covered by both Medicaid and Medicare, known as dually eligible beneficiaries, and increasing enrollment in integrated models.
The presentation focused on ways states can integrate care through Medicare Advantage dual eligible special needs plans (D-SNPs) using contract authority under the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA, P.L. 110-275). The chapter begins with a description of why MACPAC is focused on D-SNPs, then describes MIPPA strategies available to states, state ability to use these strategies, and MACPAC’s plans for future work on specific strategies that if made mandatory could give further momentum to state efforts.