This policy brief from Center for Health Care Strategies examines cost-effective options for integrating care for the nine million Americans who are dually eligible for Medicare and Medicaid.

From the report:

Options for integration can be grouped into four broad categories: (1) Special Needs Plans (SNPs); (2) Program for All-Inclusive Care for the Elderly (PACE); (3) Shared Savings Models; and (4) States as Integrated Care Entities. A more important starting point, however, is to agree on the main goals and key elements of integration that any one of these options would have to achieve in order to be acceptable to all stakeholders, particularly dual eligible beneficiaries and their families. The goals should be clear: to provide beneficiaries with the right care at the right time in the right places; and to give states and other stakeholders the flexibility they need to design and test accountable models of integrated care.

Full report:  Options for Integrating Care for Dual Eligibles (PDF | 466.01 KB)

Center for Health Care Strategies. (2010). Options for integrating care for dual eligible beneficiaries.