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From: The Commonwealth Fund [mailto:[log in to unmask]] 
Subject: Policy Options for Supporting Integrated Care for Dual
Eligibles

 

 
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Policy Options for Supporting Integrated Care for Dual Eligibles


Adults who are eligible for both Medicaid and Medicare are among the
nation's most chronically ill and costliest patients, accounting for
close to 50 percent of all spending within Medicaid and 25 percent
within Medicare. Yet, most of the nation's more than 8 million "dual
eligibles" experience fragmented care as they navigate two sets of
providers, benefits, and policies. 

A new policy brief, Supporting Integrated Care for Dual Eligibles
<http://newsletters.commonwealthfund.org/t/2944/4921/905/0/> , addresses
opportunities for integrating care for this high-cost, high-need
population. Prepared by the Center for Health Care Strategies (CHCS)
with support from The Commonwealth Fund, the brief outlines the benefits
of integrated care and integration mechanisms, such as Special Needs
Plans and "gainsharing demonstrations," where physician groups, health
systems, or regional coalitions join together and use a payment system
that supports integrated services. 

"Particularly now, with the nation committed to achieving meaningful
health care reform, there is an unprecedented window of opportunity for
policymakers to confront the administrative, financing, and statutory
barriers that hinder integrated care for dual eligibles," the authors
say. 

A companion resource paper
<http://newsletters.commonwealthfund.org/t/2944/4921/905/0/> , also
available on the CHCS Web site, provides additional details on promising
integrated care models. 

 

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Coordinating Care for Dual Eligibles: Options for Linking State Medicaid
Programs with Medicare Advantage Special Needs Plans
Charles J. Milligan, Jr. and Cynthia H. Woodcock
February 25, 2008
Read more > <http://newsletters.commonwealthfund.org/t/2944/4921/907/0/>


Medicare Advantage Special Needs Plans for Dual Eligibles: A Primer
Charles J. Milligan, Jr., and Cynthia H. Woodcock
February 25, 2008
Read more > <http://newsletters.commonwealthfund.org/t/2944/4921/908/0/>


 

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