Medicare: Medicare/Medicaid Dual Enrollees

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Medicare/Medicaid Dual Enrollees

Dual Eligibles: Medicaid's Role in Filling Medicare's Gaps - Issue Brief
This paper presents a profile of dual eligible beneficiaries, describes their health care expenditures, and analyzes the distribution of spending on the population.

Resources on the Medicare Prescription Drug Benefit
A collection of reports, fact sheets, surveys, and other research and background material on the Medicare program's new drug benefit and other provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.

Recent Documents: (163 results)

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Low-Income Assistance Under the Medicare Drug Benefit -- February 2008
This fact sheet provides an overview of the Medicare drug benefit and the additional subsidies available to certain eligible low-income beneficiaries.

State-Level Medicare Part D Plan and Beneficiary Characteristics -- October 2007
This fact sheet contains 2008 state-specific summary data about available Medicare drug benefit options, including the number of stand-alone plans with gap coverage in the "doughnut hole," and the number of plans available at no cost to qualifying beneficiaries.

Benefit improvements for low-income Medicare beneficiaries -- September 2007
The Kaiser Family Foundation has prepared a summary showing how the House-passed Children’s Health and Medicare Protection (CHAMP) Act legislation would change current law regarding assistance for low-income Medicare beneficiaries.

Findings from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs - Chartpack -- August 2007
This chartpack contains key data from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs. Findings of the survey were published in a Health Affairs Web Exclusive on Aug. 21, 2007.

Perspectives on Medicare Part D and Dual Eligibles: Key Informants’ Views From Three States -- May 2007

In 2006, low-income individuals receiving health coverage through both the Medicaid and Medicare programs, “dual eligibles,” experienced a change in their prescription drug benefit when their Medicaid prescription coverage was replaced by the Medicare prescription drug program known as Medicare Part D. This study provides information on the ongoing successes and challenges that dual eligibles faced in the first eight months of Part D and how different state approaches (Connecticut, Washington and Florida) may affect dual eligibles’ ability to access prescription medications.

The Impact of Part D on Dual Eligibles Who Spend-Down to Medicaid -- May 2007

This paper explores the inter-relationship of Medicare prescription drug coverage and Medicaid spend-down for the medically needy. It describes Part D impacts for spend-down individuals and the resulting effects on their eligibility both for Medicaid and the Medicare Low-Income Subsidy assistance.

Medicare: A Primer -- March 2007
This primer provides an overview of the Medicare program, how it is structured, who it serves, and how it works.

KaiserEDU.org Issue Module: Financing Long-Term Care -- March 2007
This KaiserEDU.org issue module discusses long-term care costs, Medicaid and Medicare's role in paying for care and role of private long-term care insurance.

Medicare at a Glance - Fact Sheet -- February 2007
Updated in February 2007, this fact sheet provides a basic overview of the Medicare program, including how it is financed, who is eligible and what benefits are covered under the program. In addition, it describes supplemental health insurance, benefits provided by the new drug law and data on Medicare expenditures and financing.

Medicare Prescription Drug Enrollment Update -- June 2006
This enrollment update breaks down and explains the statistics related to enrollment under the new Medicare drug benefit and the separate low-income subsidy program that provides additional assistance.

This fact sheet provides an overview of the Medicare drug benefit and the additional subsidies available to certain eligible low-income beneficiaries.

This fact sheet contains 2008 state-specific summary data about available Medicare drug benefit options, including the number of stand-alone plans with gap coverage in the "doughnut hole," and the number of plans available at no cost to qualifying beneficiaries.

The Kaiser Family Foundation has prepared a summary showing how the House-passed Children’s Health and Medicare Protection (CHAMP) Act legislation would change current law regarding assistance for low-income Medicare beneficiaries.

This chartpack contains key data from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs. Findings of the survey were published in a Health Affairs Web Exclusive on Aug. 21, 2007.

This primer provides an overview of the Medicare program, how it is structured, who it serves, and how it works.

This KaiserEDU.org issue module discusses long-term care costs, Medicaid and Medicare's role in paying for care and role of private long-term care insurance.

Updated in February 2007, this fact sheet provides a basic overview of the Medicare program, including how it is financed, who is eligible and what benefits are covered under the program. In addition, it describes supplemental health insurance, benefits provided by the new drug law and data on Medicare expenditures and financing.

This enrollment update breaks down and explains the statistics related to enrollment under the new Medicare drug benefit and the separate low-income subsidy program that provides additional assistance.

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Medicare/Medicaid Dual Enrollees

Though Medicare assistance is vital to the 40 million elderly persons and individuals with disabilities enrolled in the program, the requirement that beneficiaries contribute to the cost of their care through premiums and coinsurance can impose a significant burden on low-income individuals. The poorest Medicare beneficiaries are eligible for protection from these medical expenses through the Medicaid program, but many persons living just below or above the poverty level are not eligible for full Medicaid assistance and cannot afford private supplemental insurance to help cover these costs. The Medicare Savings Programs are designed to assist these low-income Medicare beneficiaries with the cost of Medicare premiums and coinsurance by paying all or some of these costs.