CMS Considering More Care Coordination Reporting For Dual Eligible Demonstrations

The federal Centers for Medicare & Medicaid Services (CMS) is examining the feasibility of requiring states and integrated care organizations participating in the dual eligible Financial Alignment Demonstration to report on the extent to which individualized care plans are being developed for beneficiaries. The goal would be to ensure that CMS has adequate information to assess the extent to which care coordination is occurring in the demonstration. Currently, the organizations and states participating in the demonstration report on core measures, but the measures are different for the capitated model and the managed fee-for-service (MFFS) model. Two of the . . .