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Dual eligibles are consumers who—due to disability, age, and/or income—are eligible to enroll in both Medicare and Medicaid. Because dual eligibles are enrolled in both Medicaid and Medicare, they receive health care services through two separate financing and delivery systems. This makes both integrating and coordinating care difficult. This report is designed to help executives navigate the dual eligible population coverage in their state, and includes answers to all of these questions. It presents a strategic overview of the different ways that consumers qualify as dual eligibles, a review of national market trends in dual eligible enrollment, an examination of the dual eligible population by state (including a look at the proportion of the total Medicaid and Medicare populations in each state), and a state-by-state look at Medicaid financing systems for this high-needs population. The report includes:

  1. Historical and current enrollment data – by dual eligible type, and as a percentage of the Medicaid and Medicare population
  2. Explanation of the health benefit financing model in Medicaid and Medicare for dual eligibles
  3. The percent of dual eligibles enrolled in Medicare managed care
  4. A state-by-state look at the Medicaid financing system for dual eligibles in each state
  5. The percent of dual eligibles in Medicaid managed care
$495.00
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