Many dual eligibles have complex medical and chronic care needs that require lengthy stays in a variety of long-term care settings. Effective care management for this population can best be accomplished when health plans can coordinate the entire continuum of health and long-term care services. In 1996, The Robert Wood Johnson Foundation (RWJF) and the University of Maryland Center on Aging (UMCA) responded to this need by establishing the Medicare/Medicaid Integration Program (MMIP), an $8 million grant initiative. The purpose of MMIP is to encourage states to integrate Medicaidís long-term care services with Medicareís acute care services through managed care. States are being provided with both grant funding from RWJF and technical assistance from UMCA as they begin to restructure the way in which they finance and deliver acute and long-term care. RWJF is making grants to cover program development, implementation and replication. To date, RWJF has awarded grants to Colorado, Florida, Minnesota, the New England Consortium (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont), New York, Oregon, Texas, and Washington. This session will provide an overview of the program goals and update attendees on the progress of this initiative.
Learning Objectives: At the end of the session the participants will: - understand the need, opportunities, and challenges involved in Medicare and Medicaid integration - be familiar with the objectives of the MMIP - be able to differentiate between a number of different models of integration
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
The 128th Annual Meeting of APHA