Advancing Medicare and Medicaid Integration: Key Program Features and Factors Driving State Investment

CHCS November, 2017
Alexandra Kruse, Stephanie Gibbs, Leah Smith, Center for Health Care Strategies

Today, there are more than 11 million individuals who receive services from both Medicare and Medicaid. For these dually eligible beneficiaries, care is often fragmented across a wide array of medical, behavioral health, and long-term care providers. All of these services and supports need to be coordinated effectively to improve care for this population, yet Medicare and Medicaid offer otherwise uncoordinated systems of care with different eligibility criteria, benefits, provider networks, and enrollment processes.

Following the creation of the Centers for Medicare & Medicaid Services’ Medicare-Medicaid...

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