Effects of integrating care for Medicare-Medicaid dually eligible seniors in Minnesota
Anderson, W. L., Long, S. K., & Feng, Z. (2020). Effects of integrating care for Medicare-Medicaid dually eligible seniors in Minnesota. Journal of Aging and Social Policy, 32(1), 31-54. Advance online publication. https://doi.org/10.1080/08959420.2018.1485396
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.