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Medicare and Medicaid Integration

Resources, analysis, and news coverage on this issue, all in one place.

Distinct Medicare and Medicaid rules, funding streams, and service delivery systems can create barriers that increase costs and worsen outcomes for people who are jointly enrolled in the programs.

We support correcting fragmentation through policies that offer meaningful choice; reduce disparities in access to and quality of care; rely on active and informed enrollee participation; include robust safeguards and oversight; offer clear enrollee and provider education about options for accessing integrated care; establish unified grievance and appeals processes; ensure seamless access to data; and provide person-centered care coordination and care management.

Resources, News & Coverage

71 items

  1. Positions and Publications What Administrative Barriers Mean for Older Adults and People With Disabilities
  2. Positions and Publications What Medicaid Financing Means for Older Adults and People With Disabilities
  3. Positions and Publications What Medicaid Cuts Mean for Older Adults and People With Disabilities
  4. Positions and Publications What Medicaid Waivers Mean for Older Adults and People With Disabilities
  5. Medicare Watch Toward Continuous and Comprehensive Coverage for Dual Eligibles
  6. Medicare Watch The Difference Integration Makes in Care for Dual Eligibles
  7. Press Release Medicare Rights Center Releases New Case Study Series to Inform Policy Improvements in Medicare-Medicaid Integration
  8. Positions and Publications Improving Care Coordination
  9. Positions and Publications Stopping Coverage Loss and Disruption
  10. Positions and Publications Closing Gaps in Benefits and Services
  11. Positions and Publications Fixing the Appeals Process
  12. Policy Series Making Medicare and Medicaid Work Better Together
  13. Medicare Watch Disability Pride Month: The ADA and the Modern History of Disability Rights in the U.S.
  14. Medicare Watch Reconciliation Bill Timeline Stretches Far Into Future, Giving Some Opportunities for Correction
  15. Press Release Senate Republicans Choose to Terminate Health Coverage, Food Assistance for Millions, Including Older Adults and People With Disabilities  
  16. Medicare Watch LGBTQ+ Aging: For Pride, Dignity, and Community
  17. Press Release Senate Budget Blueprint Goes Further Than House in Slashing Essential Programs for Older Adults, Families, and People with Disabilities 
  18. Medicare Watch A Whirlwind of Damage from Republican Budget: Increased Costs for All, Hospitals and Lives at Risk
  19. Medicare Watch Official House Bill Analysis Confirms Devastating Coverage Losses
  20. Medicare Watch House Passes Bill That Would Devastate Health Coverage for Millions in Medicaid and Medicare
  21. Medicare Watch Broken Promises: Republicans’ Budget Reconciliation Bill Would Cut Medicare
  22. Press Release Medicare Rights Center, Center for Medicare Advocacy, and Justice in Aging Urge the Senate to Reject Harmful Cuts to Medicaid and Medicare
  23. Medicare Watch House Republicans Move Forward with Plans to Cut Medicaid and Food Stamps, Reducing Coverage for Millions
  24. Press Release House Republicans Unveil Proposals That Threaten Vital Health Care for Millions of Americans 
  25. Medicare Watch CBO Analysis Shows Medicaid Cuts Would Terminate Coverage for Millions, Including People with Medicare
  26. Medicare Watch Key Decisions Loom as Congress Continues Work on Major Reconciliation Bill
  27. Medicare Watch Trump Administration and Elon Musk’s DOGE Closing Social Security Offices, Harming Access to Services
  28. Medicare Watch New Resources Show House Budget Would Slash Medicaid, Despite Voters’ Support of Program
  29. Positions and Publications A Cut to Medicaid is a Cut to Medicare
  30. Medicare Watch House Advances Harmful Budget Plan
  31. Medicare Watch Medicaid Coverage Is Vital for Many People With Disabilities and Direct Care Workers
  32. Medicare Watch URGENT: Protect Medicaid for Millions of People with Medicare
  33. Positions and Publications Medicare & Medicaid in New York
  34. Medicare Watch Potential Target for Medicaid Cuts Would End Coverage for 20 Million People 
  35. Medicare Watch New Congressional Attempt to Cut Medicaid Through Budget Reconciliation
  36. Medicare Watch Medicaid Work Requirements Continue to Be a Bad Idea
  37. Medicare Watch Proposed Rule Would Improve Medicare Advantage Prior Authorization and Transparency
  38. Medicare Watch 2025: A Year of Old Threats and New Opportunities
  39. Medicare Watch Medicare Rights Urges Congress to Strengthen Medicare and Medicaid in Year-End Legislation
  40. Medicare Watch KFF Examines Medicaid Eligibility Pathways for Dually Eligible Individuals
  41. Medicare Watch New Medicare Rights Center Case Study Series Highlights Experiences of Dually Eligible Individuals
  42. Press Release Medicare Rights Center Launches Comprehensive Case Study Resource to Highlight Key Issues with Benefits Access and Coordination for Dually Eligible Individuals   
  43. Policy Series Challenges Faced by Dual Eligibles
  44. Positions and Publications Medicare-Medicaid Integration
  45. Medicare Watch Helping People with Lower Incomes Avoid the Medicare Cliff
  46. Medicare Watch Medicaid Unwinding Extension as Eligible People Lose Access to Care
  47. Press Release Medicare Rights Center Releases Report on Improving Integrated Care for Dually Eligible New Yorkers 
  48. Medicare Watch Medicare Rights Highlights Opportunities to Improve Care for Dually Eligible New Yorkers
  49. Positions and Publications Improving Integrated Care for the Dually Eligible: Policy Recommendations for New York
  50. Medicare Watch Important Final Rule Streamlines Enrollment Into Medicaid
  51. Tradeoffs Can Washington Make Medicare and Medicaid Work Better Together? (opens in a new tab)
  52. Medicare Watch Consumer and Health Care Organizations Collaborate to Improve Integration of Medicare and Medicaid
  53. Medicare Watch Trends in Medicare Advantage Plans for Dually Eligible Individuals
  54. Press Release Consumer & Health Care Organizations Join Forces to Advance Integration of Medicare & Medicaid
  55. Medicare Watch Proposed Rule Would Improve Clarity and Transparency in Medicare Advantage, Boost Access to Care
  56. Medicare Watch People with Medicaid Are More Likely to Report Poor Health Status but Majority Rate Overall Performance of the Program Positively
  57. Medicare Watch CMS Continues Push for Nursing Home Ownership Transparency
  58. Medicare Watch Coverage Losses Mount as Medicaid Unwinding Continues
  59. Medicare Watch Procedural Reasons Responsible for Many Losing Medicaid Amidst Unwinding
  60. Medicare Watch House-Passed Bill Would Put Millions at Risk of Losing Medicaid Coverage
  61. Medicare Watch White House Announces Executive Order Aimed at Bolstering Care Work
  62. Medicare Watch Two New Reports Provide an Overview of the 12.5 Million People Enrolled in Both Medicare and Medicaid
  63. Medicare Watch Looking Ahead: Medicare in 2023 and Beyond
  64. Medicare Watch Issue Brief Explores Ways to Reduce Medicaid Churn
  65. Medicare Watch New Report Highlights Financial Benefits of Expanded Home and Community Based Services
  66. Medicare Watch Medicare Rights Supports Important Proposals for Medicare Advantage and Part D Plans
  67. Medicare Watch Medicare Rights Client Testifies Before the Senate Special Committee on Aging  
  68. Comments Comments on the HCBS Access Act Discussion Draft
  69. Comments Comments on Bipartisan Policy Center Integrated Care White Paper
  70. Comments D-SNP Fast Complaint and Appeal Decision Comments
  71. Comments Comments: CMS Applicable Integrated Plan Coverage Decision Letter

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