Noteworthy News

Integrating Care for the Dually Eligible

Urban safety-net hospitals are major providers of care to low-income elderly patients, many of whom are dually eligible – that is, eligible both for Medicare and for Medicaid.  These hospitals care for so many of these patients that they typically are eligible for both Medicare disproportionate share (Medicare DSH) and Medicaid disproportionate share (Medicaid DSH) payments.

As part of the Affordable Care Act’s mandate to pursue better ways to integrate and pay for care for the nearly nine million Americans who are dually eligible, the Center for Medicare and Medicaid Innovation (CMMI) awarded contracts to 15 states to develop new service delivery and payment models that integrate Medicare and Medicaid services more effectively for the dually eligible.  The Kaiser Commission on Medicaid and the Uninsured takes a look at what those 15 states have produced so far in a policy brief entitled “Proposed Models to Integrate Medicare and Medicaid Benefits for Dual Eligibles:   A Look at the 15 State Design Contracts Funded by CMS.”  You can find that policy brief hereHappy medical team of doctors together.

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