Roughly 12 million Americans are eligible for both Medicare and Medicaid (e.g., dual eligibles). Dualeligible individuals with long-term service and support (LTSS) needs often receive fragmented care, resulting in inefficiencies, unnecessary costs, and poorer outcomes. Integrated, managed Medicaid long-term services and supports (MLTSS) help states achieve greater value for beneficiaries and taxpayers, making the most of scarce resources. MLTSS plans have been shown to improve plan members’ care experience, enable people to remain independent in their homes, and avoid unnecessary medical utilization. Since 2013, states with MLTSS programs and/or integrated plans for dually-eligible individuals have been more successful at transitioning individuals from nursing homes to the community more effectively than non-MLTSS states.
Read the full fact sheet here.