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Medicaid Per Capita Caps Could Cut Funding for Dual Eligible Beneficiaries

April 23, 2017  /  Dual Eligibles, Medicaid

New modeling from Avalere finds that proposals to limit per capita federal Medicaid funding growth based on medical inflation could lead to a $44 billion spending cut for dual eligible beneficiaries.

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Latest

Avoidable Admissions for Long-Term Care Dual Eligibles Down 31%

January 21, 2017  /  Dual Eligibles, Medicaid

Preventable hospital admissions for dually-eligible long-term care residents have plummeted thanks to investments in patient safety and value-based care.

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Latest

Avoidable Admissions for Long-Term Care Dual Eligibles Down 31%

January 20, 2017  /  Dual Eligibles, Medicaid

Preventable hospital admissions for dually-eligible long-term care residents have plummeted thanks to investments in patient safety and value-based care.

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Latest

CMS dual-eligible demos called into question

July 28, 2016  /  Dual Eligibles, Medicaid

Despite a recent report stating that CMS needs to do a better job overseeing the 13 state-administered dual-eligible demonstration programs, some stakeholders say the initiative is on the right track.

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Latest

Dual eligible pilots proving pricey, time-consuming for states

January 29, 2016  /  Dual Eligibles, Medicaid

Many states are finding the “nuts and bolts” of coordinating care for dual eligible beneficiaries to be more costly and time consuming than they anticipated, with states underestimating the “extensive financial investments” required to modify their IT systems for the pilots, lacking alignment across beneficiary materials, Medicare-Medicaid plan compliance processes and appeals processes, and spending […]

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Latest

Are dual-eligible demos succeeding? GAO says it will be hard to tell

January 22, 2016  /  Dual Eligibles, Medicaid

The CMS needs to do a better job overseeing the 12 state-administered demonstration programs intended to improve care of people who are eligible for both Medicare and Medicaid, according to the U.S. Government Accountability Office.

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Latest

CMS speeds up move to raise rates for dual-eligible plans

November 20, 2015  /  Dual Eligibles, Medicaid

The CMS now intends to increase payments in 2016 for health plans that cover people who are dually eligible for Medicare and Medicaid and are enrolled in one of the 12 state-administered demonstration programs intended to improve their care.

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Latest

Maryland Medicaid To Launch ACO-Like Model For Dual Eligibles

July 7, 2015  /  Dual Eligibles, Medicaid, States

The Maryland Department of Health and Mental Hygiene (DHMH) is planning to launch a pilot Accountable Care Organization-like model (ACO) for individuals dually-enrolled in Medicaid and Medicare who live in Baltimore City. 

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Latest

CMS considering ACO-style care model for dual eligibles

June 22, 2015  /  Dual Eligibles, Medicaid

A Centers for Medicare & Medicaid Services executive says the agency is considering developing an accountable care organization-type model for beneficiaries who qualify for both Medicare and Medicaid.

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Latest

Many dual-eligibles opt out of care coordination

July 22, 2014  /  Dual Eligibles, Medicaid

People who are eligible for both Medicare and Medicaid are opting out at high rates from voluntary state initiatives aimed at better coordinating their care.

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