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Systems and strategies that help people of all ages maximize function, independence, and well-being should be supported.
Medicare and Medicaid policies should efficiently deliver optimal care for beneficiaries with chronic illnesses and disabling conditions.
Medicare and Medicaid should facilitate joint funding streams to enable the coordinated delivery of health services and LTSS for beneficiaries enrolled in both programs.
Budget-neutrality requirements should be eliminated for current and future Medicare and Medicaid demonstrations regarding care coordination and medical homes for beneficiaries with chronic conditio
Beneficiary and provider participation in chronic-care coordination programs and medical homes should be voluntary.
A medical home should include voluntary patient selection of a primary provider or medical practice.
Medicare should continue to test multiple types of ACOs to determine which models achieve improved quality and reduced costs.
The Department of Health and Human Services should guarantee full implementation of the meaningful use requirements so that federal HIT investments advance health care and
Federal and state governments should incorporate LTSS service plans in EHR. This enables providers to utilize a standardized care plan as consumers with LTSS needs move across settings.