Source: http://www.statereforum.org/discussions/care-coordination-for-dual-eligibles%20
Timestamp: 2013-05-19 01:25:22
Document Index: 711109149

Matched Legal Cases: ['§3023', '§3022', '§3027', '§3024', '§3026', '§3140']

Care Coordination for Dual Eligibles | State Refor(u)m
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Care Coordination for Dual Eligibles Establishing linkages between Medicaid service and payment policies and Medicare delivery systems reform demonstrations being implemented in a state will lead to more effective care coordination for dual eligible beneficiaries.
read moreEstablishing linkages between Medicaid service and payment policies and Medicare delivery systems reform demonstrations being implemented in a state will lead to more effective care coordination for dual eligible beneficiaries.
*Milestone details:
*Full name: Design interfaces between the Medicare and Medicaid delivery systems reform demonstrations created by the ACA.
*Relevance to the ACA:
Many of the Medicare service delivery systems and payment reform demonstrations are targeted to beneficiaries with multiple chronic conditions and/or limitations in activities of daily living, many of whom are likely to be dual eligibles. As a result these demonstrations are likely to have some impact on Medicaid service delivery systems in states where they are being implemented. In addition, care coordination for dual eligibles enrolled in these demonstrations will be enhanced through better linkages with Medicaid programs. Following are some of the most relevant Medicare demonstrations.
§3023 – Medicare National Pilot Program on Payment Bundling.
§3022/10307 and §3027 – Medicare Shared Savings Program, Extension of Medicare Gainsharing Demonstration, both relating to accountable care organizations.
§3024 - Independence at Home Program.
§3026 - Community Based Transitions at Home Program.
§3140 - Medicare Hospice Concurrent Care Demonstration Program.
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Attached is the final North Carolina demonstration proposal submitted to CMS in May 2012. For more information about the NC's Duals initiative, please see:http://www.communitycarenc.com/emerging-initiatives/dual-eligible-initia...
NC State Demonstration to Integrate Care for Dual Eligiblesviewreply useful?June 20th, '12
Jared AugensteinConnecticutConnecticut - Care Coordination for Dual EligiblesConnecticut received a grant to focus on dual eligibles.
CT wins grant to focus on Dual EligiblesviewRelated topics: Medicaid, Medicarereply useful?Dec 16th, '11
Sarah LashDistrict of Columbia The National Quality Forum convenes the Measure Applications Partnership (MAP). MAP has submitted an interim report to the Secretary of HHS which presents a strategic approach to performance measurement for the unique dual eligible beneficiary... read moreThe National Quality Forum convenes the Measure Applications Partnership (MAP). MAP has submitted an interim report to the Secretary of HHS which presents a strategic approach to performance measurement for the unique dual eligible beneficiary population. The report provides a vision, guiding principles, high-leverage opportunities for improvement, high-need population subgroups, illustrative measures, and considers issues related to data sources and program alignment.
NQF MAP - Strategic Approach to Performance Measurement for Dual Eligible BeneficiariesdownloadRelated topic: Dual Eligiblesreply useful?Oct 3rd, '11
Rachel TschidaMinnesotaMinnesota - Care Coordination for Dual EligiblesMedicare Payment for Health Care Home Services will begin in October through Minnesota's participation in the Medicare Multi-payer Advanced Primary Care Practice (MAPCP) demonstration. Certified health care homes will be reimbursed for care coordination... read moreMedicare Payment for Health Care Home Services will begin in October through Minnesota's participation in the Medicare Multi-payer Advanced Primary Care Practice (MAPCP) demonstration. Certified health care homes will be reimbursed for care coordination services provided to fee-for-service Medicare beneficiaries beginning 10/1/11. Health care home payment rates for Medicare have been approved by the federal Office of Management and Budget (OMB), clearing the final hurdle before the demonstration can be launched. Implementation planning is well underway to equip Minnesota's contracted Medicare Part B carrier to process health care home claims. Detailed Medicare billing instructions for providers are available on the website. http://www.health.state.mn.us/healthreform/homes/medicare/index.html
I've also included our MAPCP application and our implementation memo to providers.
MN MAPCP ApplicationdownloadMN MAPCP Implementation MemodownloadRelated topics: Medicaid, Medicare, Managed Care, Medical Homes, People with Disabilitiesreply useful?Sep 20th, '11
Mindy CohenMassachusettsMassachusetts - Care Coordination for Dual EligiblesSee below that Massachusetts was awarded a $1 million design contract from CMS to complete the design of a demonstration proposal that describes how the State would structure, implement, and evaluate an intervention aimed at improving the quality,... read moreSee below that Massachusetts was awarded a $1 million design contract from CMS to complete the design of a demonstration proposal that describes how the State would structure, implement, and evaluate an intervention aimed at improving the quality, coordination, and cost-effectiveness of care for dual eligible adults ages 21-64. Press release:http://www.mass.gov/?pageID=eohhs2pressrelease&L=1&L0=Home&sid=Eeohhs2&b...
The proposal:http://www.mass.gov/Eeohhs2/docs/eohhs/healthcare_reform/sec_2602_state_...
Related topics: Medicaid, Medicare, Dual Eligiblesreply useful?Jun 1st, '11
Katharine WitgertDistrict of ColumbiaCalifornia - Care Coordination for Dual EligiblesThis report analyzes the impact of PPACA on California's state health programs and costs.
Access the report here:http://www.statereforum.org/sites/default/files/fed_healthcare_051310_0.pdf
read moreThis report analyzes the impact of PPACA on California's state health programs and costs.
Related topics: Children's Health Insurance Program (CHIP), Childless Adults, Medicaidreply useful?Mar 11th, '11
Chart: Fast Facts on Primary Care Practice Support Systems in Select StatesBlog: All Together Now: Integrating Behavioral Health and Primary Care in MedicaidBlog: A Conversation with Alan Weil on Decision Making in a World of Uncertaintysee all documents related to this topic
Vermont SIM Innovation PlanviewAdopting PPACA Network Adequacy StandardsviewIntegrated Care Organization RFR from EOHHSdownloadNC State Demonstration to Integrate Care for Dual EligiblesviewMeasuring Healthcare Quality for the Dual Eligible Beneficiary Population: MAP's Final Report to HHSdownloadsee all related topics
Special Needs Plans (SNPs)Care Coordination EffortsCare Coordination Financing members of this discussion
Katharine WitgertDistrict of ColumbiaContact
Mindy CohenMassachusettsContact
Rachel TschidaMinnesotaContact
Sarah LashDistrict of ColumbiaContact
Jared AugensteinConnecticutContact
Melanie BushNorth CarolinaContactlesssee all show your state's progress
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