Illinois Medicare-Medicaid Alignment Initiative Reduced Inpatient Utilization By 15% In First Year

The Illinois Medicare-Medicaid Alignment Initiative (MMAI) demonstration reduced inpatient utilization by 14.8% in the first year. Before the demonstration began, during the pre-demonstration comparison period (March 1, 2012 through February 28, 2014) dual eligible beneficiaries had an average of 0.0507 hospitalizations per person per month. During the first demonstration period (March 1, 2014 through December 31, 2015), beneficiaries enrolled in the demonstration had an average of 0.0434 hospitalizations per month.

Illinois and the Centers for Medicare & Medicaid Services (CMS) launched the MMAI demonstration in March 2014 to integrate care for Medicare-Medicaid beneficiaries in . . .