Now on Demand: New Opportunities to Advance Integrated Care for Dual Eligibles

Barry LeePartner, Manatt, Phelps & Phillips, LLP

Discover the Newest Federal and State Initiatives to Support Integrating, Coordinating and Aligning Care Across Medicare and Medicaid. Click to View Our Recent Webinar Free, On Demand, and to Download a Free Copy of the Presentation.  

Dual eligibles—those eligible for both Medicare and Medicaid—are among the most costly and complex enrollees in both programs. Though they represent 20% of Medicare enrollees and 15% of Medicaid enrollees, they account for about a third of total spending in both programs.

Given that dual eligibles include both older adults and people of all ages with disabilities, they are, by definition, a costly population. The disproportionate spending on their behalf, however, is reflective of misalignments between the Medicare and Medicaid programs that can result in uncoordinated care and poor outcomes. In a recent webinar, Manatt Health examined the unique challenges of navigating and accessing care across the Medicare and Medicaid systems—and explained the newest initiatives being implemented to drive improved coordination of care and benefits. We want to be sure you don’t miss this important information.

If you or anyone on your team were unable to attend the webinar—or want to view it again—click here to view the program free, on-demand, and to download a free copy of the presentation. Key topics include:

  • The reasons dual eligibles are among the most complex and costly Medicare and Medicaid enrollees
  • The specific challenges dual eligibles face in obtaining care across two different delivery systems
  • The key findings from the federal Financial Alignment Initiatives
  • The recent federal actions to advance care integration for dual eligibles, including:
    • Provisions of the Bipartisan Budget Act of 2018 that enhance coordinated care requirements for Medicare Advantage Dual Eligible-Special Needs Plans (D-SNPs);
    • The Centers for Medicare & Medicaid Services’ (CMS) invitation for states to test new integrated care models for dual eligibles; and
    • New flexibilities provided in the final rule updating the Programs of All-Inclusive Care for the Elderly (PACE) to encourage the expansion of PACE programs.
  • The newest state initiatives to support integrated care and improve outcomes for dual eligibles

If you have any questions or issues you’d like to discuss after viewing the webinar, please reach out to our presenters: