Forum Session

CMS-State Demonstration for Medicare-Medicaid Beneficiaries: Implementing the Financial Alignment Initiative
December 6, 2013


Carol V. O'Shaughnessy, MA


The Patient Protection and Affordable Care Act of 2010 (ACA) requires the Centers for Medicare & Medicaid Services (CMS) to work with states to seek ways to improve financing streams and delivery systems under Medicare and Medicaid for the over 9 million beneficiaries who are eligible for both programs, the "dual eligibles." CMS and the states are collaborating on a major demonstration initiative to align the Medicare and Medicaid financing and integrate primary, acute, behavioral health, and long-term services and supports for dual eligible beneficiaries, known as the Financial Alignment Initiative. This Forum session explored CMS actions to implement the initiative; discussed activities of states participating in the demonstration, with focus on Virginia's demonstration; and reviewed consumer protection issues.


Melanie Bella, MBA (bio)
Director, Federal Coordinated Health Care Office
Center for Strategic Planning
Centers for Medicare & Medicaid Services

Karen E. Kimsey, MSW (bio)
Deputy Director for Complex Care Services
Virginia Department of Medical Assistance Services

Kevin Prindiville, JD (bio)
Executive Director
National Senior Citizens Law Center

Related Materials

For further information, see the slides and materials from the Forum session, "Improving Care for Dual Eligible Medicare-Medicaid Beneficiaries: One Size Does Not Fit All" (January 27, 2012); and CMS, "Financial Alignment Initiative."

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