Title

Financial Alignment Initiative New York Fully Integrated Duals Advantage (FIDA) Program First Evaluation Report

Document Type

Report

Publication Date

8-2019

Keywords

Medicare, Medicaid, dual eligible, integrated care, integrated financing, managed care, long term services and supports

Abstract

The Medicare-Medicaid Coordination Office and the Innovation Center at the Centers for Medicare & Medicaid Services (CMS) have created the Medicare-Medicaid Financial Alignment Initiative to test, in partnerships with States, integrated care models for Medicare-Medicaid enrollees. CMS contracted with RTI International to monitor the implementation of the demonstrations and to evaluate beneficiary experience, quality, utilization, and cost.

This is the first evaluation report for the Fully Integrated Duals Advantage (FIDA) demonstration launched by New York and CMS on January 1, 2015. It describes implementation of the New York FIDA demonstration and early analysis of the services used by New York demonstration eligible beneficiaries. The report includes findings from qualitative data for the demonstration from its initiation on January 1, 2015, through December 31, 2016, and quantitative results for January 1, 2015 through December 31, 2015. To capture relevant information generated at the conclusion of the demonstration period or immediately afterward, this report also includes updated qualitative information through March 2017. Data sources include key informant interviews, beneficiary focus groups, the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey results, Medicare claims data, the MMP encounter data, and other demonstration data.

Funding Organization or Grant

CMS Contract No. HHSM-500-2014-00037i TO#7

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