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Additional Oversight Needed Of CMS’s Demonstration To Coordinate The Care Of Dual-Eligible Beneficiaries

The report was released on January 19, 2016, by the Government Accountability Office (GAO). The GAO was asked to examine improvements in care coordination for dual eligible Medicare-Medicaid beneficiaries served by integrated care organizations in the 13 states participating in the Financial Alignment Demonstration, which began in 2013. In this report, the GAO reviewed provision of and CMS oversight of the four care coordination requirements for the demonstrations, which are integrated care organizations (ICOs), care coordinators, health risk assessments, individualized care plans (ICPs), and integrated care teams (ICTs . . .

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