Effects of Integrating Care for Medicare-Medicaid Dually Eligible Seniors in Minnesota. Issue 1 (2nd January 2020)

• Record Type: Journal Article
• Authors: Anderson, Wayne L.; Long, Sharon K.; Feng, Zhanlian
• Is Part Of: Journal of aging & social policy. Volume 32:Issue 1(2020)
• Page Start: 31
• Page End: 54
• Publication Date: 2020-01-02
• Subjects: Dually eligible -- managed care -- Minnesota -- seniors -- elderly; Older people -- United States -- Periodicals; Older people -- Government policy -- United States -- Periodicals; Older people -- Periodicals; Older people -- Medical care -- United States -- Periodicals; 362.605
• DOI: 10.1080/08959420.2018.1485396
• Languages: English
• ISSNs: 0895-9420

Abstract

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.