Medicaid’s Role for Dual Eligibles
These short profiles illustrate the help that Medicaid provides to four individuals who qualify for both Medicaid and Medicare. They include a 66-year-old former nurse who suffers from a multitude of health problems; an 86-year-old stroke survivor and nursing home resident; a 64-year-old man with disabilities who lives independently; and a 42-year-old woman with numerous chronic conditions, including diabetes, a thyroid condition, effects of a stroke, and depression.
There are 9 million “dual eligibles” — low-income seniors and younger persons with disabilities who are enrolled in both the Medicaid and Medicare programs. They are generally poorer and sicker than other Medicare beneficiaries, and the cost of their care accounts for a disproportionate share of both Medicaid and Medicare program spending.
also of interest
- Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS
- Dual Eligible Demonstrations: The Beneficiary Perspective
- Early Insights from Commonwealth Coordinated Care: Virginia’s Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
- Early Insights From Ohio’s Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries