Examines the initiatives being developed by CMS to fund large-scale state care-integration demonstrations for beneficiaries eligible for both Medicare and Medicaid. Includes information on how states intend to use federal funding and other recent developments in state duals initiatives, what is likely to happen next at the federal and state levels, and how Medicare Advantage and Medicaid health plans can transform these initiatives into unprecedented growth opportunities.
Beneficiaries eligible for both Medicare and Medicaid constitute a challenging population that consumes a large proportion of health care spending, despite its relatively small size.
Dual Eligibles: The New Growth Opportunities Ahead for Health Plans examines the initiatives being developed by CMS's Federal Coordinated Health Care Office to fund large-scale state care-integration demonstrations for dual eligibles, as well as states' efforts to more effectively coordinate care for these patients.
With background information on the creation of the CMS duals office — and how it grew into a major driver of efforts by states and health plans to improve care for this population — this report sheds light on how states intend to use federal funding, and how Medicare Advantage and Medicaid health plans can transform these initiatives into unprecedented growth opportunities.
Dual Eligibles: The New Growth Opportunities Ahead for Health Plans also follows recent developments in state duals initiatives, and what is likely to happen next at the federal and state levels.
Find out what steps plans and providers should take to get ready for big near-term growth opportunities. Order Dual Eligibles: The New Growth Opportunities Ahead for Health Plans today!
Health Plan Strategies and Trends for Duals
Duals Market Developments
Special Needs Plans
State Initiatives and Challenges
This book was written by the editorial staff of AIS.
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