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Understanding the experiences of dually eligible beneficiaries enrolled in MI Health Link: report summary
Understanding the experiences of dually eligible beneficiaries enrolled in MI Health Link: report summary
- Collection:
- Health Policy and Services Research
- Alternate Title(s):
- MMCO dually eligible individuals : summary of the Michigan study
- Author(s):
- Whicher, Danielle, author
Spiering, Madelaine, author
Beaver, Diane, author
Miller, Faye, (Of Mathematica), author
Gringlas, Rachel, author - Contributor(s):
- Mathematica, Inc., issuing body.
- Publication:
- Princeton, NJ : Mathematica, December 2022
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Delivery of Health Care, Integrated
Dual MEDICAID MEDICARE Eligibility
Michigan - Genre(s):
- Technical Report
- Abstract:
- This brief report describes the results of our research on beneficiaries’ experiences with care coordination and access to health care services, home- and community-based services (HCBS), and social services in the Medicare-Medicaid Financial Alignment Initiative (FAI) demonstration in Michigan, known as MI Health Link. Michigan, the Centers for Medicare & Medicaid Services (CMS) and participating Medicare-Medicaid plans (MMPs)--referred to as integrated care organizations (ICOs) in Michigan--entered into three-way contracts (TWCs) that govern the demonstration. Though the ICOs are required to deliver care coordination and other services to enrolled beneficiaries, Michigan retained its existing carve out for Medicaid behavioral health (BH) services. The state contracts directly with regional Prepaid Inpatient Health Plans (PIHPs) for the provision of Medicaid-covered treatments for substance use disorder, care for mental illness, and certain HCBS waiver services. However, PIHP coordinators are responsible for participating in the beneficiary’s Integrated Care Team and coordinating Medicaid BH services with other services outlined in the MI Health Link enrollee’s Individual Integrated Care and Supports Plan. The results of this research are based on our interviews conducted from April to June 2022 with ICO enrollees who are dually eligible for full Medicare and Medicaid benefits. Though this research was conducted through a CMS contract, none of the findings are indication of compliance (or lack thereof) with the TWC.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (9 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918697371106676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918697371106676