September 17, 2021
A. “Assessment of the Literature on Integrated Care Models for People Dually Enrolled in Medicare and Medicaid: Approaches Used and Priorities for Future Research,” by Laura Barrie, Smith, Timothy A. Waidmann, and Kyle J. Caswell (September 2021, .pdf format, 19p.).
www.urban.org/research/publication/assessment-literature-integrated-care-models-people-dually-enrolled-medicare-and-medicaid
B. “Medicaid Spending on Managed-Care Capitation and Fee-for-Service Claims among Dual Medicare-Medicaid Enrollees: T-MSIS Analytic Files Data Quality,” by Kyle J. Caswell, Timothy A. Waidmann, and Keqin Wei (September 2021, .pdf format, 32p.).
www.urban.org/research/publication/medicaid-spending-managed-care-capitation-and-fee-service-claims-among-dual-medicare-medicaid-enrollees
C. “Is a Dental Benefit Needed in Medicare? Patterns of Dental Care Spending and Use,” by Adele Shartzer, Anuj Gangopadhyaya, John Holahan. Bowen Garrett, and Nikhil Rao (September 2021, .pdf format, 17p.).
www.urban.org/research/publication/dental-benefit-needed-medicare
Comments Off on CAAR – Urban Institute Reports – September 17, 2021
June 30, 2021
“Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2021,” (OEI-05-21-00170, June 2021, .pdf format, 34p.).
oig.hhs.gov/oei/reports/OEI-05-21-00170.asp
Comments Off on CAAR – US Department of Health and Human Services, Office of Inspector General Report – June 30, 2021
October 20, 2020
“De-Mystifying Data: How Medicare Data Can Support Medicaid Agencies,” by Brianna Ensslin Janoski, Michelle Herman Soper, and Camille Dobson (October 2020, .pdf format, 26p.).
www.advancingstates.org/hcbs/article/de-mystifying-data-how-medicare-data-can-support-medicaid-agencies
Comments Off on CAAR – MLTSS Institute Issue Brief – October 20, 2020
June 30, 2020
“Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2020,” (OEI-05-20-00190, June 2020, .pdf format, 34p.).
oig.hhs.gov/oei/reports/oei-05-20-00190.asp
Comments Off on CAAR – US Department of Health and Human Service, Office of the Inspector General Report – June 30, 2020
March 16, 2020
“Medicare and Medicaid: Alignment of Managed Care Plans for Dual-Eligible Beneficiaries,” (GAO-20-319, March 2020, .pdf format, 36p.).
www.gao.gov/products/GAO-20-319
Comments Off on CAAR – US Government Accountability Office Report – March 16, 2020
March 12, 2020
A. “Mortality and Hospitalizations for Dually Enrolled and Nondually Enrolled Medicare Beneficiaries Aged 65 Years or Older, 2004 to 2017,” by Rishi K. Wadhera, Yun Wang, Jose F. Figueroa, Francesca Dominici, Robert W. Yeh, and Karen E. Joynt Maddox (Vol. 323, No. 10, March 10, 2020, p 961-969).
jamanetwork.com/journals/jama/article-abstract/2762612
B. “Effect of Reduced Exposure to Vasopressors on 90-Day Mortality in Older Critically Ill Patients With Vasodilatory Hypotension: A Randomized Clinical Trial,” by Francois Lamontagne, Alvin Richards-Belle, Karen Thomas, David A. Harrison, M. Zia Sadique, Richard D. Grieve, Julie Camsooksai, Robert Darnell, Anthony C. Gordon, Doreen Henry, Nicholas Hudson, Alexina J. Mason, Michelle Saull, Chris Whitman, J. Duncan Young, Kathryn M. Rowan, and Paul R. Mouncey, for the 65 trial investigators (Vol. 323, No. 10, March 10, 2020, p 938-949).
jamanetwork.com/journals/jama/article-abstract/2761427
Comments Off on CAAR – Journal of the American Medical Association Article Abstracts – March 12, 2020
July 2, 2019
“Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2019,” (OEI-05-19-00220, June 2019, .pdf format, 31p.).
oig.hhs.gov/oei/reports/oei-05-19-00220.asp
Comments Off on CAAR – US Department of Health and Human Services, Office of Inspector General Report – July 2, 2019
April 17, 2019
A. “Types and Costs of Services for Dual Beneficiaries by Medicare Advantage Health Plans: An Environmental Scan,” by Melony E. Sorbero, Susan L. Lovejoy, Ryan Kandrack, Erin Audrey Taylor, and Kathryn E. Bouskill (Research Report No. 2213, 2018, .pdf format, 53p.).
www.rand.org/pubs/research_reports/RR2213.html
B. “Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies,” by Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, Rachel Ross, Alina I. Palimaru, and Amanda Meyer (Research Report No. 2634, 2018, .pdf format, 68p.).
www.rand.org/pubs/research_reports/RR2634.html
Comments Off on CAAR – Rand Corporation Reports – April 17, 2019
February 14, 2019
“Using Health Homes to Integrate Care for Dually Eligible Individuals: Washington State’s Experiences,” by Nancy Archibald, Kathy Moses, and Lauren Rava (February 2019, .pdf format, 19p.).
www.chcs.org/resource/using-health-homes-to-integrate-care-for-dually-eligible-individuals-washington-states-experiences/
Comments Off on CAAR – Center for Health Care Strategies Report – February 14, 2018
February 13, 2019
“Using Health Homes to Integrate Care for Dually Eligible Individuals: Washington State’s Experiences,” by Nancy Archibald, Kathy Moses, and Lauren Rava (February 2019, .pdf format, 19p.).
www.chcs.org/resource/using-health-homes-to-integrate-care-for-dually-eligible-individuals-washington-states-experiences/
Comments Off on CAAR – Center for Health Care Strategies Report – February 13, 2018
June 27, 2018
“Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2018,” (OEI-05-18-00240, June 2018, .pdf format, 32p.).
oig.hhs.gov/oei/reports/oei-05-18-00240.asp
Comments Off on CAAR – US Department of Health and Human Services, Office of Inspector General Report – June 27, 2018
January 18, 2018
“Beneficiaries Dually Eligible for Medicare and Medicaid: Data Book,” (January 2018, .pdf format, 74p.).
www.medpac.gov/docs/default-source/data-book/jan18_medpac_macpac_dualsdatabook_sec.pdf
Comments Off on CAAR – Medicare Payment Advisory Commission Report – January 18, 2018
January 30, 2017
“Beneficiaries Dually Eligible For Medicare And Medicaid: Data Book,” (January 2017, .pdf format, 72p.).
www.medpac.gov/docs/default-source/publications/jan17_medpac_macpac_dualsdatabook.pdf?sfvrsn=0
Comments Off on CAAR – Medicare Payment Advisory Commission [MEDPAC] Report – January 30, 2017
June 30, 2016
“Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2016,” (OEI-05-16-00090, June 2016, .pdf format, 27p.).
oig.hhs.gov/oei/reports/oei-05-16-00090.asp
Comments Off on CAAR – US Department of Health and Human Services, Office of Inspector General Report – June 30, 2016
January 25, 2016
Comments Off on CAAR – Medicare Payment Advisory Commission [MEDPAC]/Medicaid and CHIP Payment and Access Commission Report – January 25, 2016
January 20, 2016
“Medicare and Medicaid: Additional Oversight Needed of CMS’s Demonstration to Coordinate the Care of Dual-Eligible Beneficiaries,” (GAO-16-31, December 2015, .pdf format, 48p.).
www.gao.gov/products/GAO-16-31
Comments Off on CAAR – US Government Accountability Office Report – January 20, 2016
December 18, 2015
“Snapshot of Integrated Care Models to Serve Dually Eligible Beneficiaries,” by Nancy Archibald and Alexandra Kruse (December 2015, .pdf format, 10p.).
www.chcs.org/resource/snapshot-integrated-care-models-serve-dually-eligible-beneficiaries/
Comments Off on CAAR – Center for Health Care Strategies Brief – December 18, 2015
December 8, 2015
A. “Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS,” by MaryBeth Musumeci (December 2015, .pdf and HTML format, 14p.).
kff.org/medicaid/issue-brief/financial-and-administrative-alignment-demonstrations-for-dual-eligible-beneficiaries-compared-states-with-memoranda-of-understanding-approved-by-cms/
B. “Medicare Advantage 2016 Data Spotlight: Overview of Plan Changes,” by Gretchen Jacobson, Marsha Gold, Anthony Damico, Tricia Neuman, and Giselle Casillas (December 2015, .pdf and HTML format, 20p.).
kff.org/medicare/issue-brief/medicare-advantage-2016-data-spotlight-overview-of-plan-changes/
C. “It Pays to Shop: Variation in Out-of-Pocket Costs for Medicare Part D Enrollees in 2016,” by Jack Hoadley, Juliette Cubanski, and Tricia Neuman (December 2015, .pdf format, 17p.).
kff.org/medicare/issue-brief/it-pays-to-shop-variation-in-out-of-pocket-costs-for-medicare-part-d-enrollees-in-2016/
Comments Off on CAAR – Kaiser Family Foundation Issue Briefs – December 8, 2015
October 8, 2015
“Engaging Providers in Integrated Care Programs for Medicare-Medicaid Enrollees: Tips for States,” by Sarah Barth and Michelle Herman Soper (October 2015, .pdf format, 5p.).
www.chcs.org/resource/engaging-providers-integrated-care-programs-medicare-medicaid-enrollees-tips-states/
Comments Off on CAAR – Center for Health Care Strategies Brief – October 8, 2015
September 9, 2015
“Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS,” by MaryBeth Musumeci (September 2015, .pdf and HTML format, 13p.).
kff.org/medicaid/issue-brief/financial-alignment-demonstrations-for-dual-eligible-beneficiaries-compared/
Comments Off on CAAR – Kaiser Family Foundation Issue Brief – September 9, 2015
August 10, 2015
“Dual Eligible Demonstrations: The Beneficiary Perspective,” by Laura Summer, Molly O’Malley Watts, and MaryBeth Musumeci (August 2015, .pdf and HTML format, 12p.).
kff.org/medicaid/issue-brief/dual-eligible-demonstrations-the-beneficiary-perspective/
Comments Off on CAAR – Kaiser Family Foundation Issue Brief – August 10, 2015
June 3, 2015
A. “Early Insights from Commonwealth Coordinated Care: Virginia’s Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries,” by Laura Summer and Jack Hoadley (June 2015, .pdf and HTML format, 23p.).
kff.org/medicaid/issue-brief/early-insights-from-commonwealth-coordinated-care-virginias-demonstration-to-integrate-care-and-align-financing-for-dual-eligible-beneficiaries/
B. “Medicare’s Income-Related Premiums: A Data Note,” by Juliette Cubanski and Tricia Neuman (June 2015, .pdf and HTML format, 5p.).
kff.org/medicare/issue-brief/medicares-income-related-premiums-a-data-note/
Comments Off on CAAR – Kaiser Family Foundation Issue Briefs – June 3, 2015
May 15, 2015
A. “Reading the Stars: Nursing Home Quality Star Ratings, Nationally and by State,” by Cristina Boccuti, Giselle Casillas, and Tricia Neuman (May 2015, .pdf and HTML format, 21p.).
kff.org/medicare/issue-brief/reading-the-stars-nursing-home-quality-star-ratings-nationally-and-by-state/
B. “Early Insights From Ohio’s Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries,” by Molly O’Malley Watts (May 2015, .pdf and HTML format, p.).
kff.org/medicaid/issue-brief/early-insights-from-ohios-demonstration-to-integrate-care-and-align-financing-for-dual-eligible-beneficiaries/
Comments Off on CAAR – Kaiser Family Foundation Issue Briefs – May 15, 2015
May 13, 2015
“Early Insights from One Care: Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries,” by Colleen Barry, Lauren Riedel, Alisa Busch, and Haiden Huskamp (May 2015, .pdf and HTML format, 23p.).
kff.org/medicaid/issue-brief/early-insights-from-one-care-massachusetts-demonstration-to-integrate-care-and-align-financing-for-dual-eligible-beneficiaries/
Comments Off on CAAR – Kaiser Family Foundation Issue Brief – May 13, 2015
April 22, 2015
“Demonstrations to Improve the Coordination of Medicare and Medicaid for Dually Eligible Beneficiaries: What Prior Experience Did Health Plans and States Have with Capitated Arrangements?” by Rivka Weiser and Marsha Gold (April 2015, .pdf and HTML format, 34p.).
kff.org/medicare/report/demonstrations-to-improve-the-coordination-of-medicare-and-medicaid-for-dually-eligible-beneficiaries/
Comments Off on CAAR – Kaiser Family Foundation Report – April 22, 2015
January 12, 2015
Comments Off on CAAR – Medicare Payment Advisory Commission Report – January 12, 2015
November 6, 2014
“Risk Stratification to Inform Care Management for Medicare-Medicaid Enrollees: State Strategies,” by Brianna Ensslin and Sarah Barth (November 2014, .pdf format, 9p.).
www.chcs.org/resource/risk-stratification-inform-care-management-medicare-medicaid-enrollees-state-strategies/
Comments Off on CAAR – Center for Health Care Strategies Brief – November 6, 2014
October 28, 2014
Comments Off on CAAR – National Quality Forum Report – October 28, 2014
September 29, 2014
“Disabled Dual-Eligible Beneficiaries: Integration of Medicare and Medicaid Benefits May Not Lead to Expected Medicare Savings,” (GAO-14-523, August 2014, .pdf format, 44p.).
www.gao.gov/products/GAO-14-523
Comments Off on CAAR – US Government Accountability Office Report – September 29, 2014
August 18, 2014
“Key Attributes of High-Performing Integrated Health Plans for Medicare-Medicaid Enrollees,” by Penny Hollander Feldman (August 2014, .pdf format, 11p.).
www.chcs.org/resource/key-attributes-high-performing-integrated-health-plans-medicare-medicaid-enrollees/
Comments Off on CAAR – Center for Health Care Strategies Brief – August 18, 2014
July 22, 2014
A. “How Much Is Enough? Out-of-Pocket Spending Among Medicare Beneficiaries: A Chartbook,” by Juliette Cubanski, Christina Swoope, Anthony Damico, and Tricia Neuman (July 2014, .pdf format, 27p.).
kff.org/health-costs/report/how-much-is-enough-out-of-pocket-spending-among-medicare-beneficiaries-a-chartbook/
B. “Financial Alignment Demonstrations for Dual Eligible Beneficiaries: A Look at CMS’s Evaluation Plan,” by MaryBeth Musumeci (July 2014, .pdf and HTML format, 13p.).
kff.org/medicaid/issue-brief/financial-alignment-demonstrations-for-dual-eligible-beneficiaries-a-look-at-cmss-evaluation-plan/
Comments Off on CAAR – Kaiser Family Foundation Report, Issue Brief – July 22, 2014
June 26, 2014
“Smooth Landing?: How California Can Ensure Continuity of Care for Vulnerable Seniors Transitioning to Managed Care,” by Kathryn G. Kietzman, Jacqueline Torres , Charlene Chang, Tina Duyen Tran, and Steven P. Wallace (June 2014, .pdf format, 8p.).
healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1289
Comments Off on CAAR – Center for Health Policy Research [University of California-Los Angeles] Policy Note – June 26, 2014
June 12, 2014
“Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2014,” (OEI-05-14-00170, June 2014, .pdf format, 27p.).
oig.hhs.gov/oei/reports/oei-05-14-00170.asp
Comments Off on CAAR – US Department of Health and Human Service, Office of Inspector General Report – June 12, 2014
March 24, 2014
“Assessing Care Integration for Dual-Eligible Beneficiaries: A Review of Quality Measures Chosen by States in the Financial Alignment Initiative,” by Sabiha Zainulbhai, Lee Goldberg, Weiwen Ng, and Anne H. Montgomery (March 2014, .pdf format, 20p.).
www.commonwealthfund.org/Publications/Issue-Briefs/2014/Mar/Assessing-Care-Integration-for-Dual-Eligible-Beneficiaries.aspx
Comments Off on CAAR – Commonwealth Fund Issue Brief – March 24, 2014
January 24, 2014
“State Demonstration Proposals to Integrate Care and Align Financing and/or Administration for Dual Eligible Beneficiaries,” (January 2014).
kff.org/medicaid/fact-sheet/state-demonstration-proposals-to-integrate-care-and-align-financing-for-dual-eligible-beneficiaries/
Comments Off on CAAR – Kaiser Family Foundation Fact Sheet – January 24, 2014
January 15, 2014
A. “Medicare-Medicaid Eligible Beneficiaries and Potentially Avoidable Hospitalizations,” by Misha Segal, Eric Rollins, Kevin Hodges, and Michelle Roozeboom (Medicare and Medicaid Research Review, Vol. 4, No. 1, 2014, .pdf format, 13p.).
www.cms.gov/mmrr/Briefs/B2014/MMRR2014-004-01-b01.html
B. “Impacts of Generic Competition and Benefit Management Practices on Spending for Prescription Drugs: Evidence from Medicare’s Part D Benefit,” by Steven Sheingold and Nguyen Xuan Nguyen (Medicare and Medicaid Research Review, Vol. 4, No. 1, 2014, .pdf format, 15p.).
www.cms.gov/mmrr/Articles/A2014/MMRR2014_004_01_a01.html
Comments Off on CAAR – US Centers for Medicare and Medicaid Service Articles – January 15, 2014
December 19, 2013
A. “Beneficiaries Dually Eligible for Medicare and Medicaid,” (December 2013, .pdf format, 64p.).
www.medpac.gov/documents/Dec13_Duals_DataBook.pdf
B. A transcript of the Dec. 12-13, 2013 meeting is available (.pdf format, 484p.).
www.medpac.gov/meeting_search.cfm?SelectedDate=2013-12-12%2000:00:00.0
Comments Off on CAAR – Medicare Payment Advisory Commission Report, Hearing Transcript – December 19, 2013
November 26, 2013
A. “Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS,” by MaryBeth Musumeci (November 2013, .pdf format, 36p.).
kff.org/medicaid/issue-brief/financial-alignment-demonstrations-for-dual-eligible-beneficiaries-compared/
B. “Long-Term Services and Supports in the Financial Alignment Demonstrations for Dual Eligible Beneficiaries,” by MaryBeth Musumeci (November 2013, .pdf format, 20p.).
kff.org/medicaid/issue-brief/long-term-services-and-supports-in-the-financial-alignment-demonstrations-for-dual-eligible-beneficiaries/
Comments Off on CAAR – Kaiser Family Foundation Issue Briefs – November 26, 2013
August 22, 2013
“Effect of Long-term Care Use on Medicare and Medicaid Expenditures for Dual Eligible and Non-dual Eligible Elderly Beneficiaries,” by Robert L. Kane, Andrea Wysocki, Shriram Parashuram, Tetyana Shippee, and Terry Lum (Medicare & Medicaid Research Review, Vol. 3, No. 3, August 2013, .pdf format, 22p.).
www.cms.gov/mmrr/Articles/A2013/MMRR2013_003_03_a05.html
Comments Off on CAAR – US Centers for Medicare and Medicaid Services Article – August 22, 2013
July 25, 2013
“Development of the Financial Alignment Demonstrations for Dual Eligible Beneficiaries: Perspectives from National and State Disability Stakeholders,” by Jeffrey S. Crowley, MaryBeth Musumeci and Erica L. Reaves (July 2013, .pdf format, 21p.).
kff.org/medicaid/issue-brief/development-of-the-financial-alignment-demonstrations-for-dual-eligible-beneficiaries-perspectives-from-national-and-state-disability-stakeholders/
Comments Off on CAAR – Kaiser Family Foundation Brief – July 25, 2013
July 17, 2013
“Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage,” by Erica L. Reaves, MaryBeth Musumeci, Gretchen Jacobson, Michael Perry, Naomi Mulligan Kolb and Loren Saulsberry (July 2013, .pdf format, 26p.).
kff.org/medicaid/issue-brief/faces-of-dually-eligible-beneficiaries-profiles-of-people-with-medicare-and-medicaid-coverage/
Comments Off on CAAR – Kaiser Family Foundation Issue Brief – July 17, 2013
July 16, 2013
“Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS,” by MaryBeth Musumeci (July 2013, .pdf format, 18p.).
kff.org/medicaid/issue-brief/financial-alignment-demonstrations-for-dual-eligible-beneficiaries-compared/
Comments Off on CAAR – Kaiser Family Foundation Issue Brief – July 16, 2013
