Dual Eligibles

Posted April 18, 2010
From time-to-time, the Medicaid federal-state partnership creates significant opportunities to step back, assess and improve the program. In this vein, California is currently seeking to renew its federal Medicaid waiver with the broad goals of enhancing Medi-Cal (California’s Medicaid program) services for its more than seven million beneficiaries and improving access to care for additional low-income Californians. This comes at an extraordinary crossroad for all states as they deal with significant budget crises and the major new opportunities presented by national...
Posted March 8, 2010
National and state policymakers are becoming ever-more aware of the imperative to fix the non-system of care for the millions of vulnerable Americans eligible for both Medicaid and Medicare, over 80 percent of whom remain in uncoordinated fee-for-service (FFS) care. Many federal and state officials as well as those in the stakeholder community have become engaged in a lively and creative discussion of options for integrating care for the 8-9 million duals, whose care is now costing $250 billion annually—approaching half of all Medicaid expenditures and a quarter of...
Posted December 1, 2009
Currently named the “Federal Coordinated Health Care Office,” this proposed office would help facilitate a working relationship between officials from Medicare and Medicaid at the federal level and Medicaid offices at the state level to better integrate service delivery and payment mechanisms for dual eligible beneficiaries.  It would ensure that beneficiaries have full access to services they are entitled to and work to repair and streamline the disorganized patchwork of programs and services currently available, but often not accessible, to the most frail and vulnerable...