Posts for Dually Eligible Populations

Contribute! Celebrating Older Adults Who Make a Difference in Health Innovation

The third pillar of this year's Older Americans Month theme, “Connect, Create, Contribute,” holds particular resonance for us at the Center, where we work to elevate the voices of older adult consumers in health delivery reform advocacy.

Five Takeaways from the New Evaluations of the Financial Alignment Initiative

In late November, the Medicare-Medicaid Coordination Office (MMCO) released long-awaited evaluation reports for five states participating in the Financial Alignment Initiative (FAI) – first evaluation reports for California, Illinois and Ohio, and second annual reports for Minnesota and Washington. California,...

Director's Corner: What’s Next for Medicare-Medicaid Enrollees?

Last Wednesday, the Center was honored to host “The Dual Imperative: What’s Next for Medicare-Medicaid Enrollees” in Washington, D.C. to discuss improving care for the 11 million people enrolled in both Medicare and Medicaid. This population includes older adults, people...

“We Don’t Just Take It, We Take Charge!”– Celebrating Older Americans Month

It’s May, and that means it’s Older Americans Month. This year’s theme is Age Out Loud, chosen “…to give aging a new voice – one that reflects what today’s older adults have to say.” Older Americans are a group that...

Rhode Island’s Dual Eligible Demonstration Project: Learning and Adjusting

In July, the Ocean State became the thirteenth state to sign a Memorandum of Understanding with CMS to move forward with integrating services and financing for its Medicare-Medicaid population (dual eligible).

Rush to Judgment?

Under the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) is assisting states in integrating care for people who are eligible for both Medicare and Medicaid.

Affordable Senior Housing and Services: A Coordinated Approach to Serving Vulnerable Older Adults

The cutting edge work described in this piece highlights the opportunities to deliver coordinated care and services, with a meaningful role played by service coordinators in affordable senior housing facilities.

Building Bridges to Better Health

To mark Older Americans Month, the Voices for Better Health project has debuted a new video highlighting an important strategy to improve the health and well-being of vulnerable older adults.

Tackling Health Disparities in the Aging Population

With April being National Minority Health Month, the time is now to stand against the barriers that create the social, health and economic disparities experienced by older adults – a population that is becoming more and more diverse.

Let's Help Medicaid Nurture Innovation

Everywhere you look these days, more initiatives are sprouting to improve the health system. Medicaid is no exception, it is a program willing and able to help states lead the way toward more effective and efficient care.

The Smart Shopper's Guide to Medicaid Managed Care Plans

In this season of giving, Community Catalyst has teamed up with the Kaiser Family Foundation to create an online tool that gathers in one place, for the first time, key data on the records of these companies.

Addressing Health Equity in the Dual Eligible Demonstration Projects

 “The healthcare world is changing; providers who have been serving a certain population are now serving a completely new population, a more diverse population. When you talk about cultural competency, what you really need to look at is what the...

The Promise and Pitfalls of the Dual Demonstrations

Recently, I had the great pleasure of welcoming participants – advocates, providers, health plans and funders -- at the second annual Voices for Better Health grantee convening. So much has happened in the past year.

Dear Patient: Let’s Get Engaged!

More and more, we are learning that an engaged patient makes a healthier patient. But what makes a patient “engaged?”

"Good Luck With That!"

In June, I had the great honor of presenting on a panel at the Practice Change Leaders for Aging and Health (PCL) meeting in Chicago. For the uninitiated, the PCL is a gem of a program through which ten leaders...

Michigan Becomes the Ninth State to Move Forward with Capitated Duals Demonstration

The “Great Lakes State” is the latest to ink an agreement with CMS for a demonstration project, called MI Health Link, aimed at integrating care for people with both Medicare and Medicaid (dual eligibles). The Michigan Memorandum of Understanding (MOU)...

Going for the Gold by Helping Consumers Get Good Care

If sports offer lessons for life, we might look to Sochi for a few pointers. For starters, the Sochi Olympic Winter Games attracted more participants than ever. But as those of us glued to our televisions have seen, the path...

Helping Consumers Get Better Services at Home and In Their Communities

Lengthy new regulations from the federal government can make you want to pull the covers over your head. But a batch released Friday may provide some comfort to people in Medicaid who are getting long-term services and supports at home...

Washington State: Two Financial Models for Two Dual Eligible Demonstrations

Just before Thanksgiving, Washington became the eighth state to sign a Memorandum of Understanding (MOU) with the Centers for Medicare and Medicaid (CMS) for a capitated financial model to integrate care for Medicare-Medicaid beneficiaries (dual eligibles). Washington is also pursuing...

The Heart of the Demonstrations

At the end of the summer, I had the chance to present at two town hall meetings in Washington State that were hosted by the Alzheimer’s Association of Western and Central Washington, a Voices for Better Health state partner.

Voices for Better Health Cheers Launch of Change AGEnts Initiative!

Recently, Community Catalyst’s Voices for Better Health program released a new video featuring the story of a mother and daughter – Sally and Edna – whose lives have been dramatically improved in the last few years. These improvements came about...

Focus on Few, Increase Savings for Many: The “Genius” of Targeting “Super-utilizers”

“[The patient] had severe congestive heart failure, chronic asthma, uncontrolled diabetes, hypothyroidism, gout, and a history of smoking and alcohol abuse. He weighed five hundred and sixty pounds. In the previous three years, he had spent as much time in...

Dig Into Our New Managed Care Checklist

We recently unveiled a checklist for making managed care consumer-focused.

Rx From The Kitchen: How High-Quality Home-Delivered Meals Can Improve Patient Outcomes

Recently, a few of us at Community Catalyst had the pleasure of breaking bread with the holistic health innovators at Community Servings, a non-profit that delivers high-quality food to individuals and families living with critical or chronic illness.

A Blueprint for Consumer Engagement in Dual Eligible Demonstrations

Building anything new is tough. That’s why we turn to blueprints and experts. The same principle applies to the federal demonstration projects for people eligible for Medicaid and Medicare (dual eligibles) under construction in more than 20 states.

The Fine Print

Building new ways of delivering care to the millions of older adults and people with disabilities who are eligible for both Medicare and Medicaid (dual eligibles) is a daunting task. There is much work to be done.

Illinois Rolls Out Details of Duals Demo

On February 22, Illinois became the fourth state to move forward with a demonstration project striving to integrate care for people eligible for both Medicare and Medicaid (dual eligibles). The Memorandum of Understanding (MOU) between Illinois and the Ce

News from the Land of Lincoln and New Resources from Community Catalyst

Last week, Illinois became the fourth state to sign a Memorandum of Understanding with the Centers for Medicare and Medicaid Services (CMS) and take the next step in creating a dual eligible demonstration project aimed at integrating care.

Next Up on the Duals Demos: Ohio

On December 12, Ohio became the third state to move forward with a demonstration project aimed at integrating care for people eligible for both Medicare and Medicaid (“dual eligibles”). Under the Memorandum of Understanding signed with the Centers for Med

Washington State First to Receive Approval to Implement a Managed Fee-for-Service Duals Demonstration Program

Last month, Washington became the second state to sign a Memorandum of Understanding (MOU) with the Centers for Medicare and Medicaid (CMS) to participate in a duals demonstration project. Washington is pursuing a managed-fee-for-service financial model u

Navigating Managed Care’s Strange New World

State Medicaid programs have been moving at warp speed to turn over long-term services and supports (LTSS) to managed care companies. For some states, this marks the first journey into the tricky terrain of mandatory managed care for seniors and people wi

Massachusetts First to Sign Agreement with CMS to Implement a Duals Demonstration Program

Efforts to integrate care for people enrolled in both Medicare and Medicaid (dual eligibles) took another step forward last month when Massachusetts became the first state to sign a Memorandum of Understanding (MOU) with the Centers for Medicare and Medic

A New Opportunity for Consumers to Help Transform Care Delivery

Since its inception, the Center for Medicare and Medicaid Innovation (the Innovation Center) has announced a number of funding opportunities that will transform the health care delivery system as we know it. The Innovation Center was established by the Af

Something to Celebrate: Three Big Birthdays, One Short Week

Three programs vital to the health care security to millions of Americans celebrated birthdays last week. Medicaid and Medicare turned 47, and their “little sibling,” the Children’s Health Insurance Plan (CHIP), also marked 15 years of ensuring low-income

Back to Work… Improving Care for the Dually Eligible

Now that the Supreme Court has unequivocally upheld the Affordable Care Act (ACA), it’s time to get back to our ongoing work of implementing the law. As we’ve said before, the rubber hits the road for the ACA at the state and local levels, and this is esp

Better Care, Lower Costs: New Models of Care for Duals

Recently, the Kaiser Family Foundation released helpful new data on the role Medicare and Medicaid programs play for dually eligible beneficiaries. As a group, these 9 million low-income seniors and people with disabilities tend to have higher rates of ch

For Seniors the Affordable Care Act is the Gift that Keeps on Giving

This week marks the two year anniversary of the Affordable Care Act. And, while we will devote plenty of space this week to highlighting the many successes of the ACA, we could think of no better place to begin than with the law’s benefits for seniors. Un

Doing Dual Eligibility Right

Last week our old friend Laurie Martinelli (former Executive Director of Health Law Advocates) penned an op-ed in the Boston Globe nicely summing up both the opportunities and risks of new initiatives aimed at integrating care for dually eligible benefici

Guest Blog: Home Care Workers Need Your Support

On December 15, 2011, President Obama announced that the Department of Labor planned to amend the Fair Labor Standards Act (FLSA) to guarantee minimum wage and overtime protections for 2.5 million home care workers. Since 1974, when Congress amended the F

CMS Releases Guidance on Payment Model to Improve Care for Dual Eligibles

The issue of improving care for people who are eligible for both Medicaid and Medicare (“dual eligible”) continued to pick up steam with the recent release of a new federal guidance related to payment models. While advocates will not be formally commentin

The New Boom in Managed Care: Long-term Services and Supports

A new report from AARP captures the changes coming for people who depend on Medicaid for services that help them live with chronic illnesses and disabilities. The number of states that actively manage long-term services and supports in Medicaid will nearl

The Shape of Coordinated Care: Advocates Pave the Way

In a big win for consumers that could set another model for the nation, advocates in Massachusetts have convinced state officials to significantly improve a plan that will coordinate care for 100,000 people age 18 to 64 with disabilities who are eligible
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