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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

Medicare Part D Update: Lessons Learned and Unfinished Business

Enacted in 2003, Medicare’s Part D prescription drug benefit reflected an unprecedented and controversial new approach for Medicare, relying exclusively on private plans to provide health coverage and including an unusual gap in coverage. This analysis by Kaiser researchers examines in detail how the new model has worked since its…

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The Henry J. Kaiser Family Foundation

Summary of Key Changes to Medicare in 2010 Health Reform Law   

This brief provides a detailed look at the improvements in Medicare benefits, changes to payments for providers and Medicare Advantage plans, various demonstration projects and other Medicare provisions in the law. It includes a timeline of key dates for implementing the Medicare-related provisions in the law. Issue Brief (.pdf) Earlier…

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The Henry J. Kaiser Family Foundation

Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries

Massachusetts is the first state to finalize a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test CMS’s capitated financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, with enrollment beginning on April 1, 2013. Starting in 2013, CMS will…

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The Henry J. Kaiser Family Foundation

Retiree Health Trends and Implications of Possible Medicare Reforms – Fact Sheet

Retiree Health Trends And Implications Of Possible Medicare Reforms September 1997 Approximately 12 million of Medicare’s 39 million beneficiaries receive employer-sponsored retiree health benefits as a supplement to their Medicare coverage. In addition, millions of retired workers under age 65 rely on retiree health benefits as their primary source of…

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The Henry J. Kaiser Family Foundation

An Update on the Clawback: Revised Health Spending Data Change State Financial Obligations for the New Medicare Drug Benefit

An Update on the Clawback: Revised Health Spending Data ChangeState Financial Obligations for the New Medicare Drug BenefitStates are obligated to finance part of the new Medicare prescription drug benefit via a monthly “clawback” payment to the federal government. This issue update analyzes the latest data and provides an overview…

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The Henry J. Kaiser Family Foundation

Low-Income Assistance Under the Medicare Drug Benefit

This fact sheet provides an overview of the Medicare drug benefit and the additional subsidies available to certain eligible low-income beneficiaries. Fact Sheet – December 2009 (.pdf)

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The Henry J. Kaiser Family Foundation

Medicare and Low-Income Beneficiaries

As part of The Faces of Medicare, a collection of fact sheets profiling the characteristics and health needs of different groups of Medicare beneficiaries, highlights key facts about Medicare’s low-income population, who have have greater health needs than those with higher incomes.Fact Sheet

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The Henry J. Kaiser Family Foundation

Medicaid Eligibility for Individuals with Disabilities

This issue paper updates the July 1999 report and provides a general overview of federal Medicaid eligibility policy for the low-income disabled population. This paper focuses on four broad groups of individuals with disabilities: children under 18; adults under 65 who are not living in institutions; adults under 65 who…

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The Henry J. Kaiser Family Foundation

Variations in State Medicaid Buy-in Practices for Low-Income Medicare Beneficiaries: A 1999 Update

This report updates a 1997 Foundation report to assess how states are implementing financial protections for the 16 million Medicare beneficiaries who are low-income. These protections, generally referred to as “buy-in programs,” help low-income Medicare beneficiaries meet Medicare's cost-sharing requirements by using state Medicaid programs to pay either all or…

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The Henry J. Kaiser Family Foundation

Long-Term Care:  Medicaid’s Role and Challenges

Long-Term Care: Medicaid's Role and ChallengesThis Policy Brief examines Medicaid's role in providing long-term care services. It describes long-term care services, the population that needs these services, and how people get long-term care services. It provides an overview of health insurance coverage of persons with long-term care needs and describes…

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