Financing Integrated Care in the Financial Alignment Demonstration

The Centers for Medicare & Medicaid Services will test integrated financing for Medicare and Medicaid services through two models in the Financial Alignment Demonstration, a capitated model and a managed fee-for-service model. The goal of integrating financing is to better align incentives to ef...

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Bibliographic Details
Published in:Generations (San Francisco, Calif.) Calif.), 2013-07, Vol.37 (2), p.24-29
Main Authors: Morley, Melissa, Walsh, Edith, Wilkin, John
Format: Article
Language:English
Subjects:
Beneficiaries
Capitation
Cost control
Delivery Systems
Federal Government
Financial Support
Health Care Services
Hospitals
Incentives
Integrated approach
Medicaid
Medicare
Medicine
Original
Quality of Health Care
Social Programs
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Summary:The Centers for Medicare & Medicaid Services will test integrated financing for Medicare and Medicaid services through two models in the Financial Alignment Demonstration, a capitated model and a managed fee-for-service model. The goal of integrating financing is to better align incentives to efficiently deliver needed services to Medicare-Medicaid enrollees. This article discusses the characteristics of the models, what integrated financing means under each model, how savings may be achieved, challenges to implementation, and the potential for long-term reform and integrated payment.
ISSN:0738-7806
2694-5126