About 9 million people in the United States are covered by both Medicare and Medicaid, including low-income seniors and younger people with disabilities. These dual eligible beneficiaries have complex and often costly health care needs, and have been the focus of many recent initiatives and proposals to improve the coordination of their care aimed at both raising the quality of their care while reducing its costs. These resources examine the dual eligible population, their health care needs and spending, and ongoing efforts to coordinate care across the two programs.
Key Facts and Data
Medicare's Role for Dual-Eligible Beneficiaries
Medicaid's Role for Dual-Eligible Beneficiaries
KaiserEDU.org Tutorial on Medicare/Medicaid Dual Eligibles
Profiles: Medicaid's Role for Dual Eligibles
Health Reform and Dual Eligible Beneficiaries
Best Bets for Reducing Medicare Costs for Dual Eligible Beneficiaries: Assessing the Evidence
Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries
State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS
Massachusetts' Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
Duals: The National Health Reform Experiment We Should Be talking More About, the Latest Pulling It Together, From Drew Altman
Affordable Care Act Provisions Relating to the Care of Dual-Eligible Beneficiaries
Article: Dx For A Careful Approach To Moving Dual-Eligible Beneficiaries Into Managed Care Plans
An Update on CMS's Capitated Financial Alignment Demonstration Model For Medicare-Medicaid Enrollees (April 2012)
People with Disabilities, Chronic Conditions and Long-Term Care Needs
Medicaid’s Long-Term Care Users: Spending Patterns Across Institutional and Community-based Settings
Medicare Spending and Use of Medical Services for Beneficiaries in Nursing Homes and Other Long‐Term Care Facilities
To Hospitalize or Not to Hospitalize? Medical Care for Long-Term Care Facility Residents
Chronic Disease and Co-Morbidity Among Dual Eligibles: Implications for Patterns of Medicaid and Medicare Service Use and Spending
Medicaid Financial Eligibility: Primary Pathways for the Elderly and People with Disabilities
State-Specific Data
Number of Dual Eligible Beneficiaries
Geographic Variation in Dual Eligible Enrollment
Medicaid Income Eligibility Requirements for the Aged, Blind, and Disabled
Comprehensive Medicaid Managed Care Activity for Dual Eligibles
Additional state-by-state data about dual eligible beneficiaries, spending trends and service use are available in the Medicare and Medicaid topic areas at statehealthfacts.org.
Managed Care and Dual-Eligible Beneficiaries
Article: There is Little Experience and Limited Data to Support Policy Making on Integrated Care for Dual Eligibles
Medicare Advantage 2011 Data Spotlight: Special Needs Plans: Availability and Enrollment
A Profile of Medicaid Managed Care Programs in 2010: Findings from a 50-State Survey
Briefings and Webcasts
June 3, 2011
Caring for People Covered by Both Medicare and Medicaid: A Primer on Dual Eligible Beneficiaries
October 10, 2010
Improving Care and Reducing Costs for Medicare Beneficiaries in Nursing Homes
