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HEALTH STEERING COMMITTEE <br /> ADOPTED RESOLUTION ON INTEGRATION OF MEDICARE AND <br /> MEDICAID FOR DUAL ELIGIBLES <br /> Issue: Medicare and Medicaid are not well integrated, ca ising fragmentation between <br /> acute and long-term care, especially for people who are eligible for both programs. <br /> Adopted Policy: NACo supports initiatives to improve quality of care and control <br /> expenditures by integrating the delivery of Medicare and Medicaid services for <br /> individuals eligible for both programs. <br /> NACo supports detailed quality and access standards for managed care plans which <br /> provide services to dual eligibles. Managed care plans participating in the program <br /> should be required to provide detailed data on utilization, expenditures, quality of care <br /> and health and morbidity outcomes to state and federal officials and evaluators <br /> NACo supports demonstration designs in which counties can share in Medicaid and <br /> Medicare savings and where cost shifts to counties are avoided. <br /> HEALTH STEERING COMMITTEE <br /> ADOPTED RESOLUTION ON MAINTAINING THE HEALTH SAFETY NET <br /> AFTER ACA IMPLEMENTATION <br /> Issue: Maintaining a strong local safety net after Affordable Care Act (ACA) <br /> implementation <br /> Adopted Policy: NACo supports the maintaining a strong safety net for the uninsured <br /> residual and vulnerable populations with medical and behavioral health needs after full <br /> implementation of the ACA in 2014 and beyond. NACo urges the federal and state <br /> governments to ensure the availability of adequate and sustainable funding for safety net <br /> providers as they continue to care for the uninsured. <br />