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
- Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage
- Massachusetts and Washington: Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared
- Kaiser Family Foundation Resources on Deficit-Reduction Debate
- Massachusetts' Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries