Brief Refocusing Responsibility For Dual Eligibles: Why Medicare Should Take The Lead
Lisa Clemans-Cope, Teresa A. Coughlin, John Holahan, Timothy A. Waidmann
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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.
Research Areas Health and health care
Tags Health insurance Federal health care reform Health care delivery and payment 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 Retirement policy Medicare and Medicaid dual eligibility
Policy Centers Health Policy Center