Medicare-Medicaid Integration 

Aurrera Health helps clients streamline comprehensive health care services for individuals dually eligible for Medicare and Medicaid to improve the coordination of care across both systems. A significant portion of our work in this portfolio focuses on helping clients create integrated health care options for individuals who receive both Medicaid and Medicare services, including work on improving and expanding access to Dual Eligible Special Needs Plans (D-SNPs). We have developed a unique understanding of the inner workings of dual eligible integration models and interacted with the wide variety of stakeholders. We support clients in strategic planning, policy development, and implementation through transitions in a wide range of tasks including CMS negotiations, developing the State Medicaid Agency Contract (SMAC), and stakeholder communications and engagement.  

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Our Experts

Our Experts
Kristal Vardaman
Kristal Vardaman

Managing Principal, Duals & LTSS

Cassidy Acosta
Cassidy Acosta

Deputy Director

Alisa Chester
Alisa Chester

Director

Sasha Hulsey
Sasha Hulsey

Deputy Director

Mary Russell
Mary Russell

Principal

News & Insight
Mark Your Calendar: Implementing the Medicaid Managed Care Rule
Mark Your Calendar: Implementing the Medicaid Managed Care Rule
The Countdown Has Started: Implementing the Medicaid Access Rule
The Countdown Has Started: Implementing the Medicaid Access Rule
Proposed Federal Policies Address Nation’s Maternal Health Crisis
Proposed Federal Policies Address Nation’s Maternal Health Crisis
Medicaid Managed Care: What’s Next for State and Managed Care Implementation?
Medicaid Managed Care: What’s Next for State and Managed Care Implementation?
Strengthening Quality Measurement in Medicaid and CHIP Through the Access and Managed Care Rules
Strengthening Quality Measurement in Medicaid and CHIP Through the Access and Managed Care Rules
Advisory Committee Requirements in the Access Rule: What’s Next for Implementation?
Advisory Committee Requirements in the Access Rule: What’s Next for Implementation?
HCBS Requirements in the CMS Access Rule: What’s Next for Implementation?
HCBS Requirements in the CMS Access Rule: What’s Next for Implementation?
Opportunities to Expand and Optimize Medicaid Managed Care in Schools
Opportunities to Expand and Optimize Medicaid Managed Care in Schools
State Options to Reduce the Burden of Medicaid Estate Recovery
State Options to Reduce the Burden of Medicaid Estate Recovery
The Final Medicaid Access and Managed Care Rules Expected Soon from CMS: Are You Ready?
The Final Medicaid Access and Managed Care Rules Expected Soon from CMS: Are You Ready?
U.S. Senate Working Group Introduces the Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024
U.S. Senate Working Group Introduces the Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024
New Federal Grants Will Help with Access to School-Based Health Services through Medicaid and CHIP
New Federal Grants Will Help with Access to School-Based Health Services through Medicaid and CHIP
Dedicated to Integrating Systems of Care for Dual Eligibles in California for Over 10 Years
Dedicated to Integrating Systems of Care for Dual Eligibles in California for Over 10 Years
Ensuring a Seamless Transition to Managed Care for Medi-Cal Members with Complex Needs
Ensuring a Seamless Transition to Managed Care for Medi-Cal Members with Complex Needs
Navigating Care for Dual Eligible Individuals: Paving the Way for Medicare and Medicaid Integration
Navigating Care for Dual Eligible Individuals: Paving the Way for Medicare and Medicaid Integration
Advancing Care Coordination: What’s Ahead for California’s Dual Eligible Members
Advancing Care Coordination: What’s Ahead for California’s Dual Eligible Members
Increasing Access to Home and Community-Based Services: Implications of New Proposed Rules
Increasing Access to Home and Community-Based Services: Implications of New Proposed Rules
Medicaid & Medicare Prepare for the End of the Public Health Emergency
Medicaid & Medicare Prepare for the End of the Public Health Emergency
Senators Request Public Input to Inform Decision Making on Programs Serving Dual Eligible Enrollees
Senators Request Public Input to Inform Decision Making on Programs Serving Dual Eligible Enrollees
Expert RFI Responses with Potential to Improve Medicare
Expert RFI Responses with Potential to Improve Medicare
Strengthening the System of Behavioral Health Care in the District of Columbia
Strengthening the System of Behavioral Health Care in the District of Columbia
Leveraging Robust Evaluation Principles to Make Medicaid Better
Leveraging Robust Evaluation Principles to Make Medicaid Better
Supporting Medicaid Providers in CalAIM Implementation
Supporting Medicaid Providers in CalAIM Implementation
New Report and 50-State Map: State Medicaid & Education Standards for School Health Personnel
New Report and 50-State Map: State Medicaid & Education Standards for School Health Personnel
California Re-Commits to CalAIM Initiative for 2021
California Re-Commits to CalAIM Initiative for 2021
Promising Practices from California’s Health Homes Program
Promising Practices from California’s Health Homes Program
California’s Public Hospitals are Improving Quality and Health Outcomes through PRIME
California’s Public Hospitals are Improving Quality and Health Outcomes through PRIME
California Launches CalAIM—Advancing and Innovating the State’s Medicaid Program
California Launches CalAIM—Advancing and Innovating the State’s Medicaid Program
Strategies for Coordinating Behavioral Health Care for California Dual Eligibles
Strategies for Coordinating Behavioral Health Care for California Dual Eligibles
Innovative Approaches to Providing “Whole Person Care” in California
Innovative Approaches to Providing “Whole Person Care” in California