Our Approach

Supporting State Efforts

 

Offering Approaches Tailored to Each State

We meet states where they are along the continuum of knowledge, capacity, and expertise. We assess current situations and offer phased-in approaches to integration to achieve person-centered careā€”from gaining Medicare proficiency, to increasing coordination across the two programs, to implementing fully integrated programs including transitioning to integrated dual eligible special needs plans (D-SNPs). This includes hands-on training and assistance that leads to sustainable in-house dual eligible population and integration expertise.


Sharing Expertise Across States

We create a needed hands-on resource for states across the country to both identify a path to and implement integrated initiatives. Participating states can leverage exceptional dual integration expertise, as well as learn what works best in different circumstances. We bring and share best practices that continually improve through our multi-state experiences.


Our Areas of Service

Our Work in Action

We are currently working with states, including Tennessee, Maine, and Michigan, to enhance the quality, experience of care and services, efficacy, and cost efficiency of programs that serve dually eligible individuals.

Partnering to build a stronger program in Tennessee

AMMS is partnering with Tennessee to build upon its current dual integration program to enroll more people in this program that was specifically designed to meet their needs and preferences and advance health equity and cost efficiencies of the program. This includes:

  • Program strategy and design
  • Program implementation, administration, and oversight
  • Quality measurement
  • Medicare Advantage Special Needs Plans consultation
  • State Medicaid agency contract support
  • Cost efficiency and savings efforts
  • Staff extension services

Charting a program path for Maine

AMMS is providing population and program expertise to Maine to help chart a path to strengthen state capacity to develop, oversee and implement approaches to better integrate Medicare and Medicaid for individuals served and advance a more efficient, coordinated program structure. Our work includes producing a dual eligible population landscape analysis, a systems and oversight analysis, and roadmap for moving forward.

Helping Michigan transform a demonstration program into a permanent program

AMMS is helping the state transition a dual eligible demonstration program to continue to provide the most integrated and tailored program option possible for dually eligible individuals in Michigan. We are providing hands-on project management and program expertise supporting on-the-ground program staff and serving as advisors to Michigan Medicaid leadership. Our work includes supporting the development and release of a request for proposal for its new integrated program.

Explore the opportunity and our impact.