CMS is looking for states to test integrated care models for dual eligible beneficiaries. CMS Administrator Seema Verma sent an eight-page letter to state Medicaid directors Wednesday inviting them to take part in the new models. The agency is hoping the programs will improve outcomes for people eligible for both Medicare and Medicaid, a population that makes up 20% of Medicare and 15% of Medicaid enrollees, but accounts for 34% of Medicare and 33% of Medicaid spend.
In recent years, the U.S. health care system’s shift toward value-based reimbursement has given home health providers cause to test all sorts of approaches aimed at reducing hospital readmission rates or preventing unnecessary trips to the emergency department.
In a recent examination of data from both pre- and post-Medicaid expansion, analysts found a link between expanded Medicaid options for very low-income populations and a reduction in deaths related to substance use disorders (SUDs).