Journal Article Improving Care for Dual Eligibles through Innovations in Financing
Lisa Clemans-Cope, Timothy A. Waidmann
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Health care for over 9 million elderly and disabled people enrolled in both Medicare and Medicaid ("dual eligibles") is complicated by an inefficient and fragmented system. In each program, dual eligibles account for about one sixth of enrollment but almost 40% of spending. Despite health-care costs exceeding $315 billion in 2011, of which Medicare pays about 55%, both Medicaid and Medicare have shown a striking lack of leadership in coordinating care for dual eligibles. We suggest ways in which the CMS's recently proposed models could be modified to improve both the quality and cost-effectiveness of care for this population.
Research Areas Health and health care
Tags Health insurance Federal health care reform Health care delivery and payment Health equity Medicaid and the Children’s Health Insurance Program  State health care reform Disability and long-term care Health care systems and managed care plans Medicare Long-term services and support Medicare and Medicaid dual eligibility
Policy Centers Health Policy Center