HealthLeaders Media April 24, 2019
States are encouraged to adopt integrated care models for serving dual eligibles, with options that include capitated payments, managed fee-for-service, and state-specific models.
KEY TAKEAWAYS
CMS Administrator Seema Verma is encouraging state Medicaid directors to work with the federal government to address the complex needs of dual eligibles.
Dual eligibles account for 20% of Medicare enrollees and 34% of Medicare spending. They also account for 15% of Medicaid enrollees and 33% of Medicaid spending.
States are being invited to partner with the federal government in integrated care models designed to improve outcomes for the nation’s 12 million dual eligible enrollees in Medicare and Medicaid.
“Less than 10% of dually eligible individuals are enrolled in...
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