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Inventory of Evaluations of Integrated Care Programs for Dually Eligible Beneficiaries

Federal and state policymakers are interested in integrating care for beneficiaries dually eligible for Medicare and Medicaid to improve outcomes for the population and potentially reduce spending in both programs. A variety of models seek to do this, including the Program of All-Inclusive Care for the Elderly (PACE), the Financial Alignment Initiative (FAI), Medicare Advantage dual eligible special needs plans (D-SNPs) including highly integrated dual eligible special needs plans (HIDE SNPs) and fully integrated dual eligible special needs plans (FIDE SNPs), managed long-term services and supports programs, and demonstrations that pre-dated the FAI.

This inventory, building upon an initial review conducted by the State Health Access Data Assistance Center at the University of Minnesota under contract to MACPAC, compiles available evidence on how these integrated care programs have affected spending, quality, health outcomes, and access. The inventory includes a total of 73 studies, including studies published between 2004 and November 2018 and formal evaluations on the FAI updated to June 2022. The workbook is organized into several tabs including a list of common acronyms, a summary of the key findings from each evaluation (which can be sorted by model type or by state), and a tab with more detailed findings on each study.