Advancing Integrated Care

Advancing Integrated Care for Beneficiaries Dually Eligible for Medicare and Medicaid

The National MLTSS Health Plan Association has taken a multi-pronged approach to advancing integrated care for dual eligible beneficiaries since its inception. This includes development of the Association’s proposal and policy priorities, convening and meeting with health plan association leadership and other stakeholders, and engagement with Hill staff to provide education and identify legislative champions. The goals of these activities are to increase public awareness of integration as an issue and to work towards legislative action to advance integration.

Dec 12

Breaking Down the CY 2025 Final Rule: Changes for Dually Eligible Individuals and D-SNPs

The CY 2025 Medicare Advantage and Part D final rule, published in April 2024, introduced several important changes to enrollment...

Oct 30

MLTSS Staff Presents at the Special Needs Plan (SNP) Alliance Fall Forum

MLTSS Association staff presented on "State Scenarios for New CMS Integration Requirements" at the Special Needs Plan (SNP) Alliance Fall...

Jul 30

MLTSS Assn and SNP Alliance Send Joint Letter to Congress on the DUALS Act

The MLTSS Association and SNP Alliance sent a letter to Congress with comments on the DUALS Act of 2024, which aims to improve...

Apr 29

MLTSS Assn Resources on the 2025 Medicare Advantage and Part D Final Rule

On April 4th, CMS released the Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program and the Medicare...

Mar 13

MLTSS Assn and SNP Alliance Send Joint Letter to Congress on Integrated Care Bill

The MLTSS Association and the SNP Alliance sent a letter to Congress on bipartisan integrated care legislation that proposes to advance...

Mar 4

MLTSS Association Comments on CMS 2025 Advance Notice

On January 31st, 2024, CMS published the Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA)...

Jan 8

MLTSS Assn Comments on CMS 2025 Medicare Advantage and Part D Proposed Rule

On January 5th, 2024, the MLTSS Association submitted comments on CMS’ 2025 Medicare Advantage and Part D proposed rule. Among its...

Sep 19, 2023

Updated Policy Proposals to Advance Integrated Care

Following up on our work from July 2021, the National MLTSS Health Plan Association has updated its set of policy proposals to advance...

Jul 5, 2023

Comments on Dual Eligible Discussion Draft Bill

On June 30th, the MLTSS Association submitted comments on a bipartisan discussion draft of a bill that proposes to advance integrated...

Apr 19, 2023

Congressional Briefing: What is Integrated Care?

On April 13th, Mary Kaschak facilitated a bipartisan Congressional committee educational session on behalf of the Long-Term Quality...

Mar 6, 2023

MLTSS Assn Comments on CMS 2024 Advance Notice

On February 1, 2023, CMS published the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA)...

Feb 13, 2023

MLTSS Assn Comments on CMS 2024 Medicare Advantage and Part D Proposed Rule

On February 13th, 2023, the MLTSS Association submitted comments on CMS’ 2024 Medicare Advantage and Part D proposed rule. Among its...

Jan 25, 2023

MLTSS Leadership Summit: CMS Administrator Calls to Action on Health Equity and Integration

The population served by MLTSS health plans experiences stark disparities by race and ethnicity, making it critical to ensure that this...

Jan 17, 2023

Response on Senate Integrated Care RFI

A bipartisan group of Senators published a letter requesting information on how Congress can improve health care coverage and alignment...

Sep 2, 2022

Medicare Advantage RFI Response

CMS released an RFI to inform their efforts to strengthen Medicare Advantage in alignment with agency’s goals and vision for the future....

May 26, 2022

MLTSS Assn Endorses Bills to Advance Integrated Care Introduced by Senate Special Committee on Aging

On May 19, the Senate Special Committee on Aging held a hearing focused on senior mental health and integrated care. During the hearing,...

Apr 29, 2022

MLTSS Assn Brief: MLTSS Plans’ Current Sources of Medicare Data and Their Limitations

The MLTSS Association recently developed a brief summary of the Medicare data sources that MLTSS plans currently have access to and the...

Mar 9, 2022

Medicare Advantage and Part D Proposed Rule Comments

On March 7, 2022, the MLTSS Association submitted comments to CMS on the Medicare Program; Contract Year 2023 Policy and Technical...

Sep 7, 2021

Direct Contracting Letter to CMMI

On September 8, 2021 the National MLTSS Association, America’s Health Insurance Plans (AHIP), the Association for Community Affiliated...

Jul 13, 2021

Policy Proposals to Advance Integrated Care

Today less than 10 percent of “full Duals” (beneficiaries who have full coverage in both Medicare and Medicaid) are enrolled in managed...

Mar 18, 2021

MLTSS Plan Access to COVID-19 Vaccine Data for Dually Eligible Beneficiaries

On March 19, 2021 the Association for Community Affiliated Plans (ACAP), Medicaid Health Plans of America (MHPA), and the National MLTSS...

Nov 30, 2020

Value of MLTSS Health Plan Participation in CMMI DC Model

The DC model is focused on giving participants the ability to take increasing levels of risk for a patient population through flexible...

Jul 26, 2020

MACPAC June 2020 Report to Congress Response

On July 27, 2020, the Association wrote a letter to the Medicaid and CHIP Payment and Access Commission (MACPAC) Commissioners in...

Jun 16, 2020

Primary Cares Initiative DC Model Letter

In response to the Center for Medicare and Medicaid Services (CMS)’s announcement of the Primary Cares Initiative, on June 17, 2020 the...

Jun 11, 2019

Impact of Integrated Plans Fact Sheet

Roughly 12 million Americans are eligible for both Medicare and Medicaid (e.g., dual eligibles). Dualeligible individuals with long-term...

May 16, 2019

Advancing Integrated Care Proposal 2019

Only 9 percent of beneficiaries who have full coverage in both Medicare and Medicaid (“full Duals”) are enrolled in managed care plans...

Feb 27, 2019

Medicare Advantage and Part D Call Letter

On February 27, the Association wrote a letter to Administrator Seema Verma to provide comment on the Centers for Medicare and Medicaid...

Dec 19, 2018

CMS Medicare Advantage Proposed Rule Comments

On December 19, 2018 the Association wrote a letter to Administrator Seema Verma to provide comment on the Centers for Medicare and...

Sep 25, 2018

Comprehensive Care for Seniors Act of 2018

On September 26, 2018 the Association wrote a letter to Senate Finance Chairman Hatch, Ranking Member Wyden, Senator Toomey, Senator...

Apr 11, 2018

D-SNP Provisions of the Bipartisan Budget Act of 2018

On April 12, 2018 the Association wrote a letter to Director Tim Engelhardt to provide comment on the Medicare-Medicaid Coordination...

Oct 25, 2017

Special Need Plans Reauthorization Act of 2017

On October 26, 2017 the Association wrote a letter to Congressional leadership to urge the permanent reauthorization of all special needs...

Jul 25, 2017

House Energy and Commerce Committee Testimony

On July 26, 2017 the Association testified before the U.S. House Energy and Commerce Subcommittee on Health regarding the extension of...

Jul 9, 2017

Reauthorization of MA Special Needs Plans Letter

On July 10, 2017 the Association wrote a letter to Chairman Pat Tiberito and Ranking Member Sander Levin of the House Committee on Ways...

Feb 10, 2017

PACE Innovation Act Request for Information (RFI)

On February 10, 2017 the Association wrote a letter to Administrator Patrick Conway to provide comment on the Centers for Medicare &...

Oct 19, 2016

CMS Proposed Rule: PACE

On October 20, 2016 the Association wrote a letter to CMS Administrator Slavitt to comment on the Centers for Medicare & Medicaid...