A new report from the Centers for Medicare & Medicaid Services calls for better cost management through closer alignment from healthcare providers. In looking at the results of the Financial Alignment Demonstration models, two care coordination initiatives CMS designed to serve dual eligible individuals, the agency reiterated its position:
The success of any care coordination initiative—including Financial Alignment Demonstration models—depends on creating new care delivery models that significantly improve the care that beneficiaries receive. Improving the care experience for low-income seniors and people with disabilities who are Medicare-Medicaid enrollees – sometimes referred to as ‘dual eligible individuals’– is a priority for CMS.
Interestingly, this report comes in the wake of GAO’s call for more oversight in how CMS measures the success of these care coordination programs. No question care programs for dual eligible patients is a priority, but—given the scatter-shot implementation of the two test programs—we suspect CMS has some work yet to do.