Distinct Medicare and Medicaid rules, funding streams, and service delivery systems can create barriers that increase costs and worsen outcomes for people who are jointly enrolled in the programs. We support correcting this fragmentation through policies that offer meaningful choice; reduce disparities in access to and quality of care; rely on active and informed enrollee participation; include robust safeguards and oversight; offer clear enrollee and provider education about options for accessing integrated care; establish unified grievance and appeals processes; ensure seamless access to data; and provide person-centered care coordination and care management.
For the nearly 13 million people enrolled in both Medicare and Medicaid—known as dual eligible individuals—Medicare is their primary insurer. It
This week, Medicare Rights released a new case study series to inform conversations and policy decisions around enhancing benefits access
New York, NY – The Medicare Rights Center (Medicare Rights) is proud to announce the release of an essential new resource aimed at
Coordinating benefits and services for dually eligible individuals is often complex and disjointed. This study examines the challenges of poorly integrated care and offers recommendations for improving integration at both state and federal levels.
The National Council on Aging (NCOA) and the LeadingAge LTSS (long-term services and supports) Center at the University of Massachusetts
During the COVID-19 pandemic, states had the option to get increased federal funding for Medicaid if they agreed to place
New York, NY —The Medicare Rights Center, a national nonprofit consumer service organization, released a new report titled “Improving Integrated Care
People who are eligible for both Medicare and Medicaid have diverse needs and circumstances. However, nearly all face challenges navigating
In 2022, the New York State Department of Health (NYSDOH) released its Dual Eligible Integrated Care Roadmap, which outlined the state’s many priorities for improving integrated care for those dually eligible for Medicare and Medicaid.[i] By promoting integrated care for duals, they hoped to improve health outcomes, enhance member satisfaction, and reduce costs. One of the most ambitious goals was a 250% increase in the number of dually eligible individuals receiving integrated care through an aligned contract—meaning that the individual’s Medicare and Medicaid benefits are provided by the same company—by the end of 2023. These aligned contracts include the state’s Integrated Benefits for Dually Eligible Enrollees (IB-Dual) program and Medicaid Advantage Plus (MAP) plans.
This week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to make enrolling and staying in Medicaid
For the nearly 13 million people enrolled in both Medicare and Medicaid—known as dual eligible individuals—Medicare is their primary insurer. It
This week, Medicare Rights released a new case study series to inform conversations and policy decisions around enhancing benefits access
New York, NY – The Medicare Rights Center (Medicare Rights) is proud to announce the release of an essential new resource aimed at
Coordinating benefits and services for dually eligible individuals is often complex and disjointed. This study examines the challenges of poorly integrated care and offers recommendations for improving integration at both state and federal levels.
The National Council on Aging (NCOA) and the LeadingAge LTSS (long-term services and supports) Center at the University of Massachusetts
During the COVID-19 pandemic, states had the option to get increased federal funding for Medicaid if they agreed to place
New York, NY —The Medicare Rights Center, a national nonprofit consumer service organization, released a new report titled “Improving Integrated Care
People who are eligible for both Medicare and Medicaid have diverse needs and circumstances. However, nearly all face challenges navigating
In 2022, the New York State Department of Health (NYSDOH) released its Dual Eligible Integrated Care Roadmap, which outlined the state’s many priorities for improving integrated care for those dually eligible for Medicare and Medicaid.[i] By promoting integrated care for duals, they hoped to improve health outcomes, enhance member satisfaction, and reduce costs. One of the most ambitious goals was a 250% increase in the number of dually eligible individuals receiving integrated care through an aligned contract—meaning that the individual’s Medicare and Medicaid benefits are provided by the same company—by the end of 2023. These aligned contracts include the state’s Integrated Benefits for Dually Eligible Enrollees (IB-Dual) program and Medicaid Advantage Plus (MAP) plans.
This week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to make enrolling and staying in Medicaid
