State Proposes Medicare-Medicaid Integration, ACO partnerships

The healthcare system in New York is looking to optimize care and reduce costs by partnering with the Centers for Medicare & Medicaid Services (CMS) to integrate Medicaid and Medicare services and funding for dual-eligibles, according to recommendations from the New York State Department of Health.

Dual-integration will lead to improved patient outcomes through effective care management, the proposal notes.

Because the nearly 700,000 individuals in New York who qualify for the Medicare and Medicaid programs have a high healthcare utilization rate, a unified entity that manages their care will ensure dual-eligibles receive the right care at the right time in the right setting, according to the state health department.

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Source: FierceHealthcare