Improving Health Outcomes for Dual-Eligible Populations through Integrated, Data-Focused Models

In April 2011, the Centers for Medicare and Medicaid Services (CMS) awarded design contracts to Massachusetts and fourteen other states to develop a service delivery and payment model to integrate care for beneficiaries who are dually eligible for Medicare and Medicaid.

Although the dual-eligible population comprises less than 20 percent of the overall Medicaid or Medicare population, they account for 34 percent and 30 percent of Medicare and Medicaid spending, respectively. According to the Kaiser Family Foundation, nearly 90 percent of those who are dually eligible live on an annual income of less than $20,000. More than 50 percent are people of color, and about 25 percent of dual-eligible enrollees have five or more chronic conditions.

This panel will explore how to leverage longitudinal integrated care models and data analytics to better inform interventions to better serve the dual-eligible populations who are often left to navigate a highly complex and fragmented system of care often resulting in poor health and quality of life outcomes.

Our guest experts will explore the importance of Long-Term Services and Supports (LTSS), Home and Community-Based Services (HCBS) and care coordination in promoting the dignity and independence of the dual-eligible population. The panel will also discuss future opportunities to advance health outcomes by aligning and integrating care models and leveraging data and analytics to drive innovation and policy change.