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About 9 million people in the United States are covered by both Medicare and Medicaid, including low-income seniors and younger people with disabilities. These dual eligible beneficiaries have complex and often costly health care needs, and have been the focus of many recent initiatives and proposals to improve the coordination of their care aimed at both raising the quality of their care while reducing its costs. This page highlights some key resources examining the dual eligible population and provides you with the standard search result page for a site-wide search on the dual eligible tag.

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The Henry J. Kaiser Family Foundation

The New Medicare Drug Benefit:  Potential Effects of Pharmacy Management Tools on Access to Medications

The New Medicare Drug Benefit: Potential Effects of Pharmacy Management Tools on Access to MedicationsThis report describes the pharmacy benefit management tools that will be available to private plans administering the new Medicare drug benefit, including formularies, the definition of categories and classes, and cost sharing requirements. The authors conclude…

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The Henry J. Kaiser Family Foundation

Grievance and Appeals Procedures: An Analysis of the MMA and Proposed Regulations

This paper, by Sara Rosenbaum, J.D., Director of the Center for Health Services Research and Policy at George Washington University, examines the procedures for resolving beneficiaries' grievances and appeals under the new Medicare drug benefit. It is one in a series commissioned by the Kaiser Family Foundation that analyzes issues…

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The Henry J. Kaiser Family Foundation

Marketing and Privacy Issues: An Analysis of the MMA and Proposed Regulations

This paper, by Joy Pritts of the Health Policy Institute at Georgetown University, looks at issues related to drug plan marketing activities and privacy under the MMA.Issue Brief (.pdf)

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The Henry J. Kaiser Family Foundation

Navigating Medicare and Medicaid: A Resource Guide for People with Disabilities, Their Families, and Their Advocates

Navigating Medicare and Medicaid: Resource Guides for People with Disabilities, Their Families, and Their AdvocatesThese guides explain the critical role Medicare and Medicaid have come to play in the lives and the futures of roughly 20 million children, adults, and seniors with disabilities – and give people with disabilities new…

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The Henry J. Kaiser Family Foundation

Summary of Final Regulations Implementing the New Medicare Prescription Drug Benefit

This document summarizes the final regulations to implement the new Medicare prescription drug benefit. The regulations were published by the Centers for Medicare and Medicaid Services (CMS) as a final rule in the Jan. 28 Federal Register. It provides an overview that allows interested parties to obtain information about specific…

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The Henry J. Kaiser Family Foundation

Chartpack: Selected Findings on Seniors’ Views of the Medicare Prescription Drug Benefit

Chartpack: Selected Findings on Seniors’ Views of the Medicare Prescription Drug BenefitThese charts highlight key data from the February 2006 tracking poll on seniors’ views toward the new Medicare drug benefit.Chartpack (.pdf)

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The Henry J. Kaiser Family Foundation

Findings from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs – Chartpack

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. Chartpack (.pdf)

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The Henry J. Kaiser Family Foundation

Examining Sources of Supplemental Insurance and Prescription Drug Coverage Among Medicare Beneficiaries: Findings from the Medicare Current Beneficiary Survey, 2007

This updated chartpack presents sources of supplemental and prescription drug coverage among Medicare beneficiaries in 2007, the most recent year for which national data are available. The chartpack looks at variations in supplemental and prescription drug coverage by income, race/ethnicity, age, urban/rural location, and health status. It also examines characteristics…

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The Henry J. Kaiser Family Foundation

Primers on Key Health Care Topics and Programs

The Kaiser Family Foundation maintains a number of primers providing overviews of key health care programs and issues. Written by Foundation staff, each primer provides key data and information that helps illustrate the topic and its relevance for the nation's health care system.Medicaid: A PrimerMedicare: A PrimerThe Uninsured: A PrimerHealth…

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The Henry J. Kaiser Family Foundation

Medicaid’s Role for Dual-Eligible Beneficiaries

This brief examines the role of Medicaid in providing health coverage to the 9.6 million Medicare beneficiaries who are also eligible for Medicaid. The brief explains the role Medicaid plays in providing supplemental coverage to fill in the gaps in Medicare’s coverage for these dual-eligible beneficiaries.

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