Ohio's Large Scale Experiment on Integrated Care: Results and Implications for Long-Term Services Reform. (17th December 2021)

• Record Type: Journal Article
• Authors: Applebaum, Robert; Nelson, Matt; Bowblis, John
• Is Part Of: Innovation in aging. Volume 5(2021)Supplement 1
• Page Start: 452
• Page End: 452
• Publication Date: 2021-12-17
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igab046.1750
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: Implemented through five health plans, Ohio's MyCare demonstration began in 2014 and was designed to coordinate primary, acute care, behavioral health and long-term services in the major urban areas of the state. Individuals who are dually eligible for both Medicaid and Medicare and who reside in specified geographic regions must enroll into a managed MyCare plan. MyCare beneficiaries are assigned to two primary categories: community well and those needing long-term services and supports (LTSS). Individuals receiving the integrated MyCare intervention were expected to have lower acute care hospitalizations, lower long-term nursing home use, better longevity and lower overall health and long-term care costs. Using a propensity score matching design, the evaluation compared MyCare enrollees to comparison group members in non-MyCare counties of the state, using Medicaid and Medicare claims data. The 120, 000 MyCare program participants represented about half of the dual eligible individuals in the state.