Navigating the Intersection of Medicare and Medicaid – Dual-Eligible Beneficiaries
Paper 1: Overview of the dual-eligible ecosystem
We are excited to introduce a white paper series entitled "Navigating the Intersection: Dual-Eligible Beneficiaries." The series is designed to provide an in-depth exploration of the complexities and challenges faced by states and payers related to individuals who are eligible for both Medicare and Medicaid, known as dual-eligible beneficiaries. In this first paper, we give an overview of dual-eligible membership, including its history, eligibility criteria, and the benefits available to dual-eligible beneficiaries. The main sections of the paper include the following:
- Eligibility and benefits
- Membership and cost growth
- How Medicaid pays Medicare premiums
- Dual managed care programs
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Navigating the Intersection of Medicare and Medicaid – Dual-Eligible Beneficiaries
We provide an overview of the complexities surrounding the intersection of Medicare and Medicaid, and explore opportunities to better serve dual-eligible beneficiaries.