Report on Early Implementation of Demonstrations Under the Financial Alignment Initiative
Abstract
This report provides a preliminary update on the status of selected evaluation and implementation activities for the seven demonstrations implemented as of May 1, 2014, as part of the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative to test integrated care and financing models for Medicare-Medicaid enrollees. Implementing these demonstrations is complex and challenging, requiring integration of multiple systems and sometimes conflicting Medicare and Medicaid policies, as well as major investments of time and resources by the States, Medicare-Medicaid Plans (MMPs), and CMS. This report describes the range of activities and early experiences in implementing these demonstrations during the first 6 months of operations in each demonstration State, and includes information about specific successes and challenges encountered in aligning Medicare and Medicaid systems and policies.
Insights Results
Challenges
for enrollment in the demonstrations. Finding eligible beneficiaries was a challenge voiced by key informants interviewed by the evaluation team. State systems often had incorrect or outdated contact information, making it difficult or impossible to get required passive enrollment notices to beneficiaries