Medicaid/SCHIP: Medicare/Medicaid Dual Enrollees

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Medicaid/Medicare Dual Enrollees

Resources on Dual Eligibles and Issues Related to Their Transition to the New Medicare Drug Benefit
A collection of information and publications on dual eligibles, their current drug coverage, and issues related to their transition to the new Medicare drug benefit.

Medicaid Enrollment and Spending for Medicare Beneficiaries in 2003
This report provides the latest national and state data on Medicaid enrollment and spending for individuals enrolled in both Medicaid and Medicare. Nationally, there are 7.5 million dual eligibles and while they comprise 14% of the Medicaid population, they account for 40% of Medicaid spending.

Recent Documents: (122 results)

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Medicare Part D 2009 Data Spotlight: Premiums -- November 2008
This spotlight analyzes the premiums charged by the 1,689 stand-alone Medicare Part D plans that will be offered in markets across the country in 2009. It is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

Medicare Part D 2009 Data Spotlight: The Coverage Gap -- November 2008
This data spotlight examines the coverage gap, or "doughnut hole," in Medicare drug plans available in 2009. While in the gap in coverage, Part D enrollees (other than those receiving low-income subsidies) are required to pay 100 percent of total drug costs until they reach the catastrophic coverage level. The spotlight is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

Medicare Part D 2009 Data Spotlight: Low-Income Subsidy Plan Availability -- November 2008
This Medicare Part D Data Spotlight focuses on the availability of drug plans for beneficiaries receiving the Part D low-income subsidy in 2009 and changes since 2006. The spotlight is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

Health Care and Long-Term Care Policy: Concerns Facing Older Women -- September 2008

This tutorial discusses health care coverage and cost challenges for older women.

Kaiser Fast Facts -- May 2008
“Kaiser Fast Facts” features “QuickTakes” and “Kaiser Slides” – two tools that provide direct access to facts, data and slides about the nation's health care system and programs, in an easy-to-use format. “QuickTakes” presents an inventory of facts-at-a-glance and "Kaiser Slides" allows Web visitors to freely view, download and print graphics and tables of health policy statistics and trends.

Perspectives on Medicare Part D and Dual Eligibles: Key Informants’ Views From Three States -- May 2007

In 2006, low-income individuals receiving health coverage through both the Medicaid and Medicare programs, “dual eligibles,” experienced a change in their prescription drug benefit when their Medicaid prescription coverage was replaced by the Medicare prescription drug program known as Medicare Part D. This study provides information on the ongoing successes and challenges that dual eligibles faced in the first eight months of Part D and how different state approaches (Connecticut, Washington and Florida) may affect dual eligibles’ ability to access prescription medications.

The Impact of Part D on Dual Eligibles Who Spend-Down to Medicaid -- May 2007

This paper explores the inter-relationship of Medicare prescription drug coverage and Medicaid spend-down for the medically needy. It describes Part D impacts for spend-down individuals and the resulting effects on their eligibility both for Medicaid and the Medicare Low-Income Subsidy assistance.

Medicare: A Primer -- March 2007
This primer provides an overview of the Medicare program, how it is structured, who it serves, and how it works.

KaiserEDU.org Issue Module: Financing Long-Term Care -- March 2007
This KaiserEDU.org issue module discusses long-term care costs, Medicaid and Medicare's role in paying for care and role of private long-term care insurance.

Medicaid and Long-Term Care: Recent Publications Illuminate Key Policy Issues -- December 2006

With recent policy debates about the future of Medicaid, the Foundation's Kaiser Commission on Medicaid and the Uninsured has created a resource page of recent publications that address key policy issues when examining Medicaid's role for high cost populations and in long-term care.

This spotlight analyzes the premiums charged by the 1,689 stand-alone Medicare Part D plans that will be offered in markets across the country in 2009. It is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

This data spotlight examines the coverage gap, or "doughnut hole," in Medicare drug plans available in 2009. While in the gap in coverage, Part D enrollees (other than those receiving low-income subsidies) are required to pay 100 percent of total drug costs until they reach the catastrophic coverage level. The spotlight is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

This Medicare Part D Data Spotlight focuses on the availability of drug plans for beneficiaries receiving the Part D low-income subsidy in 2009 and changes since 2006. The spotlight is one in a series analyzing key aspects of the Medicare Part D drug plans that will be available to beneficiaries in 2009.

This tutorial discusses health care coverage and cost challenges for older women.

“Kaiser Fast Facts” features “QuickTakes” and “Kaiser Slides” – two tools that provide direct access to facts, data and slides about the nation's health care system and programs, in an easy-to-use format. “QuickTakes” presents an inventory of facts-at-a-glance and "Kaiser Slides" allows Web visitors to freely view, download and print graphics and tables of health policy statistics and trends.

This primer provides an overview of the Medicare program, how it is structured, who it serves, and how it works.

This KaiserEDU.org issue module discusses long-term care costs, Medicaid and Medicare's role in paying for care and role of private long-term care insurance.

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Medicaid/Medicare Dual Enrollees

Over 7 million of Medicaid’s 50 million beneficiaries are “dual enrollees”, low-income elderly and individuals with disabilities who are enrolled in both Medicaid and Medicare. While Medicare covers basic health services, including physician and hospital care, dual enrollees rely on Medicaid to pay Medicare premiums and cost-sharing and for services that Medicare does not cover, such as prescription drugs and long-term care. Because dual enrollees have significant health needs and few resources to obtain the range of services they require, Medicaid’s assistance is crucial.