Medicare-Medicaid Coordination Office Financial Alignment Initiative (FAI): Evaluations

SPOTLIGHT & RELEASES

All demonstrations will be rigorously evaluated on their ability to improve quality and reduce costs. The Centers for Medicare & Medicaid Services (CMS) has contracted with an external evaluator, RTI International, to lead the evaluation of each individual demonstration. While each state-level evaluation may evolve over time, the documents below show the evaluation strategies for approved demonstrations and for the overall initiative.

State-specific Evaluation Reports

California

• Third (Preliminary) Evaluation Report for the California capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
  • Findings at a Glance
• Second (Preliminary) Evaluation Report for the California capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
  • Findings at a Glance
• First Evaluation Report for the California capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)

Colorado

• Evaluation Report for the Colorado managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
  • Findings at a Glance

Illinois

• Third (Preliminary) Evaluation Report for the Illinois capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
  • Findings at a Glance
• Second Evaluation Report for the Illinois capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
• First Evaluation Report for the Illinois capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018) 

Massachusetts

• Fifth (Preliminary) Evaluation Report for the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
  • Findings at a Glance
• Fourth (Preliminary) Evaluation Report from the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
• Third Evaluation Report from the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)
• Second Evaluation Report from the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)
• First Annual Report for the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/20/2017)
  • Appendices on Demographic and Health Conditions (10/20/2017) (PDF)

Michigan

• Second Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (03/08/2022)
  • Findings at a Glance
• First Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)

Minnesota

• Third Evaluation Report for the Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (07/07/2021)
• Second Evaluation Report for the Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (11/29/2018)
• First Evaluation Report for the Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (10/20/2017)

New York

• Third Brief Evaluation Report for the New York Integrated Appeals and Grievances Demonstration (12/20/2023)

• Beneficiary Experience Research Results for the Integrated Appeals and Grievances Demonstration in New York (10/01/2022) (PDF)

• Third Evaluation Report for the New York Fully Integrated Duals Advantage - Intellectual and Developmental Disabilities (NY FIDA-IDD) Demonstration under the Medicare-Medicaid Financial Alignment Initiative (08/09/2023)
  • Findings at a Glance
• Second Brief Evaluation Report for the New York Integrated Appeals and Grievances Demonstration (04/12/2023)
• Combined First and Second Evaluation Report for the New York Fully Integrated Duals Advantage - Intellectual and Developmental Disabilities (NY FIDA-IDD) Demonstration under the Medicare-Medicaid Financial Alignment Initiative (06/01/2022)
  • Findings at a Glance
• First Brief Evaluation Report for the New York Integrated Appeals and Grievances Demonstration (03/08/2022)
• Combined Second and Third Evaluation Report for the New York Fully Integrated Duals Advantage (FIDA) capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
• First Evaluation Report for the New York Fully Integrated Duals Advantage (FIDA) capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)

Ohio

• Third Evaluation Report for the Ohio capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/05/2023)
  • Findings at a Glance
• Second Evaluation Report for the Ohio capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (03/08/2022)
  • Findings at a Glance
• First Evaluation Report for the Ohio capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)

Rhode Island

• Third Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
  • Findings at a Glance
• Beneficiary Experience Research Results for the Integrated Care Initiative Demonstration in Rhode Island (10/01/2022) (PDF)
• Combined First and Second Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
  • Findings at a Glance

South Carolina

• Third Evaluation Report for the South Carolina capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
  • Findings at a Glance
• Second Evaluation Report for the South Carolina capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
  • Findings at a Glance
• First Evaluation Report for the South Carolina capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)

Virginia

• Evaluation Report for the Commonwealth Coordinated Care capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)

Texas

• Preliminary Third Evaluation Report for the Texas capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
  • Findings at a Glance
• Preliminary Second Evaluation Report for the Texas capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (06/01/2022)
  • Findings at a Glance
• First Evaluation Report for the Texas capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)

Washington

• Demonstration Year 7 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
• Fifth Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
  • Findings at a Glance
• Fourth Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
  • Findings at a Glance
• Third Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
• Second Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)
• First Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/20/2017) 
  • Appendices on Demographic and Health Conditions (10/20/2017) (PDF)

Managed fee-for-service Model Actuarial Reports

Colorado

• Concluding Demonstration Year 2 and Demonstration Year 3 Medicare Cost Savings Report for the Colorado managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
• Demonstration Year 1 Final and Demonstration Year 2 Preliminary Medicare Cost Savings Report for the Colorado managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)
• Demonstration Year 1 Preliminary Medicare Cost Savings Report for the Colorado managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/20/2017)

Washington

• Final Demonstration Year 7 and Preliminary Demonstration Year 8 Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/05/2023)
• Demonstration Year 5 Final and Demonstration Year 6 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
• Demonstration Year 4 Final and Demonstration Year 5 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
• Demonstration Year 3 Final and Demonstration Year 4 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
• Demonstration Year 2 Final and Demonstration Year 3 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/16/2018)
• Demonstration Year 1 Final and Demonstration Year 2 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/28/2017)

Aggregate Evaluation Reports

• Addressing Social Determinants of Health in Demonstrations Under the Financial Alignment Initiative (07/07/2021)
• Beneficiary Experience: Early Findings from Focus Groups with Enrollees Participating in the Financial Alignment Initiative (03/21/2017)
• Early Findings on Care Coordination in capitated Medicare-Medicaid Plans under the Financial Alignment Initiative (03/21/2017)
• Special Populations Enrolled in Demonstrations under the Financial Alignment Initiative (03/21/2017)
• Report on Early Implementation of the Demonstrations under the Medicare-Medicaid Financial Alignment Initiative (01/21/2016)

Aggregate Evaluation Plan

• Executive Summary (PDF)
• Aggregate Plan (PDF)

State-specific Evaluation Design Plans

• California Evaluation Design Plan (PDF)
• Colorado Evaluation Design Plan (PDF)
• Illinois Evaluation Design Plan (PDF)
• Massachusetts Evaluation Design Plan (PDF)
• Michigan Evaluation Design Plan (PDF)
• Minnesota Evaluation Design Plan (PDF)
• New York FIDA Evaluation Design Plan (PDF)
• New York FIDA IDD Evaluation Design Plan (PDF)
• Ohio Evaluation Design Plan (PDF)
• Rhode Island Evaluation Design Plan (PDF)
• South Carolina Evaluation Design Plan (PDF)
• Texas Evaluation Design Plan (PDF)
• Virginia Evaluation Design Plan (PDF)
• Washington Managed Fee-for-Service Evaluation Design Plan (PDF)

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