Dual Eligibles

Report: Correcting Medicare Advantage overpayments could save billions

January 27, 2012

Correcting overpayments in the Medicare Advantage program could save the federal government billions of dollars, according to a new Government Accountability Office report.
 

Group recommends coordinating care for dual-eligibles, leaving more up to states

January 12, 2012

In order to promote coordination between Medicare and Medicaid services and to save money, the federal government and states should create an integrated care model for dual-eligible beneficiaries, a new report recommends.
 

Group advocates for single, coordinated program for dual eligibles

October 18, 2011

A leading Medicaid trade group told members of the so-called debt-reduction "super-committee" that shifting dual eligibles — individuals who are eligible for both Medicare and Medicaid benefits — into a single, coordinated program could save $148 billion in federal expenditures over 10 years.
 

Functional impairments raise costs among chronically ill Medicare beneficiaries, report says

October 14, 2011

Medicare beneficiaries suffering from five or more chronic conditions and functional impairments are nearly twice as expensive as Medicare enrollees with only the chronic conditions, a new report finds.
 

Poor coordination between Medicare and Medicaid complicates joint efforts, study shows

October 07, 2011

The fragmentation of the current healthcare system makes it difficult to measure quality among the dual-eligible population, according to a new report.
 

Improved coordination of dual eligibles could save the federal government $125 billion over 10 years, report says

September 23, 2011

Requiring dual eligibles — individuals receiving both Medicare and Medicaid benefits — to enroll in team-based coordination of care programs could save the federal government $125 billion over 10 years, a new report finds.
 

Report proposes changes to streamline care for dual eligibles

August 29, 2011

Elderly dual eligibles, those individuals that receive Medicare and Medicaid benefits, are at risk for experiencing substantial drops in care when moving between Medicare and Medicaid coverage, a new report shows.
 

HHS announces nursing home care coordination initiative

July 11, 2011

A new federal initiative aims to cut hospitalizations among nursing home residents receiving both Medicare and Medicaid, the Department of Health and Human Services announced Friday.
 

Changing the conversation: How Americans talk, think and feel about aging

Bruce Chernof, M.D. June 01, 2011

In my 25 years as a physician, I've never heard anyone describe themselves as a "functionally impaired patient with chronic multiple conditions," a "long-term care recipient" or a "dual eligible." Yet these types of terms are used every day among healthcare professionals, policy wonks and advocates to describe the very people on whose behalf we work.
 

HHS announces new Medicare-Medicaid cost control initiatives

May 12, 2011

A new program from the Department of Health and Human Services will seek to improve care of dual-eligibles, the agency said Wednesday.
 

HHS gives states $15 million to improve care for dual-eligibles

April 18, 2011

Using funds from the Affordable Care Act, the Department of Health and Human Services announced it has given 15 states $1 million each to help coordinate and improve care for "dual-eligibles." Many dual-eligibles (individuals who qualify for both Medicare and Medicaid) are in long-term care settings and are among the country's sickest and poorest individuals.
 

Nation's health leader advises how to deal with Medicaid funding crunch

February 07, 2011

Providers could be facing calls for cuts in benefits and demands for more effective drug purchasing in the wake of a letter from Health and Human Services Secretary Kathleen Sebelius to the nation's governors. Sebelius sent the missive as a reminder on ways states could more efficiently utilize their Medicaid programs.
 

Healthcare reform can improve care and reduce costs for 'dual-eligibles'

December 20, 2010

Implementation of the healthcare reform bill, or the Affordable Care Act, could improve the quality of care and reduce costs for "dual-eligibles," according to findings of a new report from the Center for American Progress.
 

CMS launches Medicare, Medicaid innovation center

November 17, 2010

The Centers for Medicare & Medicaid Services disclosed Tuesday it has established its Center for Medicare and Medicaid Innovation as part of an effort to evaluate the delivery and cost of care.
 

Healthcare reform holds promise for dual eligibles

Dr. Bruce Chernof December 15, 2009

The proposed "Federal Coordinated Health Care Office" would help to improve the care and services for dual eligibles, or those eligible for Medicare and Medicare.
 

Appeals court denies Medicare reimbursement to nursing homes for bad debt

August 06, 2009

An appeals court has upheld a decision denying Medicare reimbursement to 21 skilled nursing facilities for bad debt related to services rendered to dual-eligible beneficiaries, according to news reports.
 

Report: New CMS office could better serve dual eligibles

August 04, 2009

The Centers for Medicare & Medicaid Services should create an office for dual eligibles, those seniors dually eligible for Medicare and Medicaid, a new report suggests. It would reduce the "silo-effect" and lead to better, more cost-effective treatment for this population.
 

Pharmacy lobby pits House against Senate in debate over coverage of dual eligibles

July 07, 2009

Dual-eligible seniors are caught in a Capitol Hill cross fire over a pledge from the pharmaceutical industry to reduce costs by $80 billion, according to reports from Washington.
 
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