A Primer on Dually Eligible Beneficiaries
The nine million dually eligible beneficiaries are generally poorer and sicker than other Medicare beneficiaries, tend to use more health care services, and thus account for a disproportionate share of Medicare and Medicaid spending. Because they often have complex medical and long-term care needs, and must navigate both Medicaid and Medicare benefits and financing, they present a special challenge for those seeking a more efficient and coordinated care delivery system.
The panel will address such basic questions as: Who is dually eligible for Medicare and Medicaid? What are the characteristics and needs of this population? How do Medicaid and Medicare coordinate payment and care for this population? What federal and state barriers complicate these efforts? What is being done to address these challenges? What provisions in health reform address improving the coordination and delivery of services for dual eligibles?
Speakers for this session:
The panel is co-moderated by Kevin Arts of the Alliance for Health Reform and Barbara Lyons of the Kaiser Family Foundation’s Kaiser Commission on Medicaid and the Uninsured (KCMU).
- Melanie Bella, director of the new Federal Coordinated Health Care Office (“Office of Duals”) at CMS
- Scott Leitz, Minnesota Department of Human Services
also of interest
- Articles Examine Data and Issues For Expanding Integrated Care Models For Dual-Eligible Beneficiaries
- Financial Alignment Models for Dual Eligibles: An Update
- State Options That Expand Access to Medicaid Home and Community-Based Services
- Proposed Models to Integrate Medicare and Medicaid Benefits for Dual Eligibles: A Look at the 15 State Design Contracts Funded By CMS