Medicaid Health Plans and Dual Eligibles

For over two decades, states have turned to Medicaid health plans to provide coordinated care to Medicaid beneficiaries while experiencing improved quality outcomes and predictable costs.  Many of the nation's 8.9 million beneficiaries eligible for both Medicaid and Medicare ("dual eligibles") suffer from receiving fragmented care and present cost, quality and access challenges to policymakers.  Medicaid health plans are equipped to provide the coordinated care to dual eligibles necessary to achieve cost savings and improve health outcomes.
 
MHPA's Fact Sheet, Medicaid Health Plans and Integrated Care for Dual Eligibles


MHPA Statement for the Record for the July 18, 2012 hearing, “Examining Medicare and Medicaid Coordination for Dual-Eligibles.” The comments address the need for more care coordination for the dual-eligible population, the scope of the Capitated Financial Alignment Demonstrations (CFADs), the importance of passive enrollment, Medicaid managed care organizations’ experience serving elderly and disabled populations, and the plan selection process for the capitated demonstrations. (7/18/12)

MHPA Statement for the Record to the House Committee on Ways and Means, Subcommittee on Health re: the June 2012 MedPAC report. MHPA refuted concerns expressed by MedPAC and members of the committee re: the Capitated Financial Alignment Demonstration and Medicaid health plan participation in the demonstrations. (6/19/12)

MHPA letter to Secretary Sebelius in support of duals integration and the Capitated Financial Alignment Demonstrations (6/5/12) 

MHPA comments to CMS on the Michigan Capitated Financial Alignment Demonstration Proposal (5/23/12)

Sample of MHPA letters to all 12 members of the Joint Select Committee on Deficit Reduction (the “super committee”) on care coordination of the dual eligibles, insurer fee exemption. (10/13/11)

MHPA - ACAP joint Statement for the Record to the Senate Committee on Finance on the hearing entitled "Dual-Eligible Beneficiaries: Improving Care While Lowering Costs." (9/21/11)

MHPA's comments on dual eligibles as part of MHPA's response to the Request for Information on Opportunities for Alignment Under Medicaid and Medicare. (7/11/11)

MHPA - ACAP joint Statement for the Record to the Subcommittee on Health of the House Energy and Commerce Committee on the hearing entitled "Dual-Eligibles: Understanding This Vulnerable Population and How to Improve Their Care." (6/21/11)

MHPA's statement on the HHS care coordination effort for dual eligibles. (5/13/11)
 

Medicaid Health Plans and Long-term Care

Medicaid pays almost 50% of the nation's post-acute and long-term care costs, and such costs account for about 35% of total Medicaid spending. Projected growth in long-term care costs in the current Medicaid program-due to the dramatic increase in projected growth in the population of senior citizens-is not sustainable. We support efforts to increase access to home and community-based services to improve quality of life and choices for people with disabilities. Medicaid health plans are uniquely positioned to serve the elderly and disabled populations by coordinating benefits and support services.


Educational Resources