Integrating Care for Dually Eligible Beneficiaries: Policy Issues and Options

Minnesota Northstar Geriatrics Workforce Enhancement Program (GWEP)'s picture
Submitted by Minnesota North... on Feb 19, 2021 - 8:29pm CST

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This report is part of the Better Care for People with Complex Needs Playbook. This report details the current landscape of integrated care models, and identifies policy recommendations to increase enrollment in integrated models and promote greater integration in existing programs. It also discusses the states' opportunities to advance more integrated care through the following ways: (1) implementing default enrollment; (2) improving state capacity on Medicare; (3) providing upfront funding for establishing integrated care models; (4) strengthening Medicare-Medicaid plans; (5) maximizing state use of dual eligible special needs plan (D-SNP) contracting authorities; (6) increasing selective contracting with D-SNPs; (7) diminishing the potential for “D-SNP look-alike plans” to negatively affect integrated care programs; and (8) limiting D-SNP enrollment to full benefit dually eligible beneficiaries.

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