On November 28, 2018, the Center for Consumer Engagement in Health Innovation hosted “The Dual Imperative: What’s Next for Medicare-Medicaid Enrollees.” With support from The Commonwealth Fund, The John A. Hartford Foundation, Peterson Center on Healthcare, The SCAN Foundation and the Valerie Wilbur Health Policy Fellowship Fund, the half-day symposium brought together policymakers, consumers, advocates, researchers and health care providers to review lessons learned from the Financial Alignment Initiative (FAI) and to discuss their implications for future integration policies and programs for individuals dually eligible for Medicare and Medicaid.

This report, authored by David Stevenson, presents the key themes that emerged from the day’s discussion and suggests a roadmap of what’s needed to promote a strong future for integrated care for individuals who are dually eligible. Ten recommendations that emerged from the discussion are summarized on the accompanying overview document.