Quality Measurement in Integrated Care for Medicare-Medicaid Enrollees

The Affordable Care Act provides new opportunities to integrate care for individuals dually eligible for both Medicare and Medicaid, but states now face challenges in showing how these integrated models improve the quality care. This brief summarizes efforts to develop quality of care measures for Medicare-Medicaid enrollees. It provides guidance to states in developing measurement approaches for proposed integrated programs, including assessment of quality in specific domains of integrated care such as long-term services and supports and behavioral health services. It also describes how performance measures can be shaped by stakeholder input.