The dual eligibles are low-income older adults and younger persons with significant disabilities who are enrolled in both the Medicare and Medicaid programs. This population depends heavily on the structure of healthcare financing, eligibility determination, and both federal and state funding. Changes ...
doi:10.1001/jamahealthforum.2023.2957 Introduction People dually eligible for Medicare and Medicaid are among individuals with the greatest need in the US1 and have enrolled in Medicare Advantage (MA) plans at a pace faster than non–dual-eligible individuals.2 To improve care for this population,...
Meridian Health Plan of Michigan, Inc., aCentene Corporationcompany, was alsorecently selectedby theMichigan Department of Health and Human Servicesto provide highly integrated Medicare and Medicaid services for dually eligible Michiganders through a Highly Integrated Dual Eligible Special Needs Plan. Abou...
Concerns have also emerged that beneficiaries may not be aware of limitations on eligibility for certain benefits—particularly SSBCI—before enrolling in a plan.5 Opportunities for Reform Policymakers are actively pursuing reforms to coordinate Medicare and Medicaid for dual-eligible beneficiaries. Many...
Medicare could also risk-adjust for factors such as education, language, and housing adequacy. This may help address several contradictory Medicare and Medicaid policies, such as recognizing low-income Medicare beneficiaries eligible for Medicaid assistance with premiums or cost-sharing ...
Research on health care at the end of life has focused on Medicare-financed acute care services. Much less information has been available on nursing home use in the last year of life, particularly for individuals who are dually eligible for Medicare and Medicaid. We used Medicare and Medicaid ...
As of 2010, over 9 million individuals were eligible for both Medicare and Medicaid—the dual eligibles. Dual eligibles are among the most expensive and ch... KE Thorpe 被引量: 14发表: 2011年 Current processes for enrolling Medicare/Medicaid Dual Eligibles in Medicare Savings Programs and Effort...
“Use of Medicaid-covered institutional LTSS among individuals dually eligible for Medicare and Medicaid services resulted in disproportionately high Medicare and Medicaid spending,” the report found. Only 17 percent of dual eligible beneficiaries used institutional LTSS. However, 29 percent of Medic...
Dual-eligible beneficiaries are eligible for both Medicare and Medicaidbenefits. In 2011, about 19 percent of Medicare beneficiaries (about 10million) were dual eligible. The dual-eligible population is diverse andincludes individuals with multiple chronic conditions; difficulties withactivities of daily ...
Individuals who are entitled to Medicare Part A and/ or Part B and are eligible for some form of Medicaid benefit are often referred to as “dual eligibles.” These benefits are sometimes referred to as Medicare Savings Programs (MSPs). Dual eligibles are eligible for some form of Medicaid ...