The strong push to integrate Medicare and Medicaid services has been driven by the federal government through the Centers for Medicare & Medicaid Services, and by states, in response to two major system concerns: quality and cost. But nationwide system change has been slow and inconsistent. This article lays out the many issues that have come forward as the aging services industry experiences this change. Much about how healthcare is delivered in our nation is yet to be determined: the impacts that integrated care will have on the aging services network and older consumers and their families remain uncertain.

Generations, Number 2 / Summer 2013, 72-77(6).

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