Key Findings from a Survey of ACAP Plans on Duals Demonstrations

It’s been more than two years since the Centers for Medicare & Medicaid Services (CMS) began implementing one of most significant delivery system demonstrations in years. Made possible by the passage of the Affordable Care Act, the Financial Alignment Demonstrations (“the demonstration”) are testing new models of care coordination and integrated financing for consumers dually eligible for Medicare and Medicaid benefits. These are low-income seniors and persons with disabilities, many of whom suffer from multiple chronic conditions addressed by a patchwork of service providers, and who could benefit the most from the promise of coordinated care and an interdisciplinary care team of primary, acute, behavioral health and long-term service providers, as needed.

Today, 13 states participate in these demonstrations, with 10 states enrolling consumers in fully capitated managed care plans known as Medicare-Medicaid Plans (MMPs). Although the enrollment timeline differs between the states, studies have begun to report on early findings and policymakers are looking closely at the progress underway.  This study is an effort to get a snapshot of progress made to date by a subset of MMPs.

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