Projects

Supporting States in Improving Care for Dually Eligible Individuals through the Integrated Care Resource Center

2011-2024

Project Overview

Objective

To provide technical assistance and support to states and the Centers for Medicare & Medicaid Services Medicare-Medicaid Coordination Office (MMCO) regarding options for improving and integrating care for dually eligible individuals.

Project Motivation

Despite often facing a variety of chronic conditions and functional needs, dually eligible individuals must navigate two separate, siloed systems of care in Medicare and Medicaid. The Integrated Care Resource Center project was designed to help CMS and states better integrate Medicare and Medicaid benefits to improve care for this population.

Partners in Progress

  • Center for Health Care Strategies
  • Infocrossing
  • Airam Actuarial Consulting

Prepared For

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicare - Medicaid Coordination Office

Mathematica helps CMS and states improve care for dually eligible individuals – a population  made up of people who are over the age of 65 or under 65 with disabilities who disproportionately face health challenges and inequities in care while attempting to navigate two separate, siloed health insurance systems.

Dually eligible individuals are simultaneously low-income and over the age of 65 or under the age of 65 with disabilities. People who are dually eligible are more likely to have a disability and/or several chronic conditions than people with Medicare alone, more likely to require long-term services and supports (LTSS), and more likely to experience social and environmental risk factors that can impact health outcomes. People of color are also disproportionately represented within the dually eligible population, and more than 20% of dually eligible individuals speak limited English. Despite these challenges, dually eligible individuals must navigate two separate, siloed systems of care in Medicare and Medicaid. 

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Project Impact

It was very clear [in this presentation] that the presenters are extremely knowledgeable. It is much harder to be succinct with this type of very technical material than it is to go into detail. I thought the presenters did a really excellent job of keeping their narration high-level, while using the slides to serve as a resource for those who prefer to dig deeper at their convenience. I would highly recommend this presentation to my colleagues, and plan to do so.

- State Medicaid agency attendee at ICRC’s Medicare Webinar

Related Staff

Erin Weir Lakhmani

Erin Weir Lakhmani

Senior Researcher

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Danielle Chelminsky

Danielle Chelminsky

Researcher

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James  Verdier

James Verdier

Senior Fellow

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Ryan Stringer

Ryan Stringer

Researcher

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Debra  Lipson

Debra Lipson

Senior Fellow

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