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Disabled Dual-Eligible Beneficiaries: Integration of Medicare and Medicaid Benefits May Not Lead to Expected Medicare Savings
Disabled Dual-Eligible Beneficiaries: Integration of Medicare and Medicaid Benefits May Not Lead to Expected Medicare Savings
 
Our Price: $20.00
By James Cosgrove (au)
Year: 2014
Pages: 44
Binding Paperback
ISBN 978-1-4578-5814-7

Product Code: 1457858142

Description
 
In 2009, the Medicare and Medicaid programs spent an estimated $103 billion on disabled dual-eligible beneficiaries those individuals who are disabled, under age 65, and qualify for both Medicare and Medicaid benefits. Recently, Congress and the Centers for Medicare & Medicaid Services (CMS) have emphasized benefit integration for all dual-eligible beneficiaries both disabled and aged -- including beginning a financial alignment demonstration, which CMS expects will improve care and reduce program spending. This report examined (1) spending, utilization, and health status patterns for the portion of this population with the highest spending; (2) the extent to which integrated dual-eligible special needs plans (D-SNPs) provided high quality of care for this population while controlling Medicare spending; and (3) D-SNPs and traditional Medicare Advantage (MA) plans performance in serving this population based on quality and resource use measures. Tables and figures.

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