3.3.9: Dual Eligibles
Place dual eligibles in Medicaid managed care. Other Information:
(Saves $1 billion in 2015, $12 billion through 2020) Approximately nine million low-income seniors and disabled individuals
are covered by both Medicaid and Medicare. The divided coverage for dual eligibles results in poor coordination of care for
this vulnerable population and higher costs to both federal and state governments. We recommend giving Medicaid full responsibility
for providing health coverage to dual eligibles and requiring that they be enrolled in Medicaid managed care programs. Medicare
would continue to pay its share of the costs, reimbursing Medicaid. Medicaid has a larger system of managed care than does
Medicare, and this would result in better care coordination and administrative simplicity.
Indicator(s):
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