Focus on Dual Eligibles Continues
Dual eligibles – people whose health care benefits are covered by both Medicare and Medicaid – constitute the poorest and sickest of publicly insured people. These nine million people also are among the most expensive to care for, so the federal government and state governments are investing significant effort and resources to find better, more effective, and more economical ways to serve this challenging population.
The prevalence of dual eligibility varies widely from state to state, depending on the nature of individual states’ populations and their particular Medicaid eligibility requirements. Dual eligibility even differs significantly from county to county in many states.
The dual eligible population poses a considerable challenge for urban safety-net hospitals, many of which serve especially large numbers of such patients.
The Kaiser Commission on Medicaid and the Uninsured has released a new analysis on the dual eligible population, including state-by-state and county-by-county data and whether individual states have submitted proposals to the federal government to pursue a demonstration program to integrate Medicaid and Medicare financing and services for their dual eligible population. You can find that analysis here.