Effects of Integrating Care for Medicare-Medicaid Dually Eligible Seniors in Minnesota.
J Aging Soc Policy
; 32(1): 31-54, 2020.
Article
em En
| MEDLINE
| ID: mdl-29979947
ABSTRACT
Individuals dually eligible for Medicare and Medicaid often receive fragmented and inefficient care. Using Minnesota fee-for-service claims, managed care encounters, and enrollment data for 2010-2012, we estimated the likely impact of Minnesota Senior Health Option (MSHO)-seen as the first statewide fully integrated Medicare-Medicaid model-on health care and long-term services and supports use, relative to Minnesota Senior Care Plus (MSC+), a Medicaid-only managed care plan with Medicare fee for service. Estimates suggest that MSHO enrollees had significantly higher use of primary care and, potentially, of community-based services, combined with lower use of hospital-based care than similar MSC+ enrollees. Adopting fully integrated care models like MSHO may have merit in other states.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Planos Governamentais de Saúde
/
Prestação Integrada de Cuidados de Saúde
/
Elegibilidade Dupla ao MEDICAID e MEDICARE
/
Serviços de Saúde para Idosos
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Aged
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Aging Soc Policy
Assunto da revista:
GERIATRIA
/
SAUDE PUBLICA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos