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.
 
Download MHPA's Fact Sheet, Medicaid Health Plans and Integrated Care for Dual Eligibles


Read a copy of one of the letters MHPA sent 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)

Read the 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)

Download 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)

Read the 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)

Read 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