Payment Matters: Contracting Opportunities Begin for Dual Eligible Integrated Care

Baker Donelson
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Nine million Americans are eligible for both Medicare and Medicaid. Called "dual eligibles," these individuals account for a disproportionate amount of the spending across both programs. Fifteen states will soon launch programs with funding from the State Demonstrations to Integrate Care for Medicare-Medicaid Enrollees. Under this program, the Medicare/Medicaid Coordination Office and the CMS Innovation Center selected states based on their proposals to improve care delivered to dual eligibles, and a medium or high level of readiness to roll out these programs quickly. These states will receive federal funding to design and implement patient-centered models coordinating care among primary, acute, behavioral and long term care settings and services. States are beginning to reach out to providers to participate in state-specific programs.

The fifteen states selected for this program, with links to their individual state designs, are as follows: (all files below open as PDFs)...

Please see full publication below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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