Urban InstituteRetirement Policy Center

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Publications by Lisa Clemans-Cope for Retirement Policy


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Refocusing Responsibility For Dual Eligibles: Why Medicare Should Take The Lead (Policy Briefs/Timely Analysis of Health Policy Issues)
Judy Feder, Lisa Clemans-Cope, Teresa A. Coughlin, John Holahan, Timothy Waidmann

At 40 percent of Medicare's and of Medicaid's costs, the 9 million dual eligibles who receive benefits from both programs, are a focus of efforts to slow growth in entitlement spending. But, given the two programs' responsibilities, policy-makers are relying far too heavily on states to find the solution. Dollars spent on dual eligibles are overwhelmingly federal; potential savings come from better management of Medicare-financed acute care services; and enhanced state, rather than federal, responsibility for overall spending increases the risk of cost-shifting to Medicare and may undermine quality of care for vulnerable beneficiaries.

Posted: October 04, 2011Availability: HTML | PDF

 

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