The nearly nine million Medicare beneficiaries who are also eligible for some form of Medicaid, the so-called dual eligibles, are the subject of federal, state and local policy discussions because many of them are among the highest users of health … [Read more...] about Forcing Dual Eligibles Into Private Health Plans is No Quick Fix
Related Topics and Medicaid
New Initiatives to Improve Services for Dual Eligibles
The Centers for Medicare & Medicaid Services (CMS) recently announced several new initiatives focused on improving care for people who are eligible for both Medicare and Medicaid (dual eligibles).Two initiatives relate to providing fully … [Read more...] about New Initiatives to Improve Services for Dual Eligibles
CMS Permits States to Extend Certain Medicaid Spousal Protections to Same-Sex Couples
In a continuation of the Obama Administration's effort to extend rights to same sex couples, the Centers for Medicare & Medicaid Services (CMS) issued a new State Medicaid Director Letter 11-006 (SMDL). There are currently federal … [Read more...] about CMS Permits States to Extend Certain Medicaid Spousal Protections to Same-Sex Couples
Why Medicaid Matters to People with Medicare
Medicare and Medicaid, which together serve over 95 million Americans,[1] or nearly one third of the U.S. population, are our two major national public health insurance programs offering secure and stable access to health care for beneficiaries, and … [Read more...] about Why Medicaid Matters to People with Medicare
Health Care Reform and Low-Income Beneficiaries
As we have reported previously, President Obama signed into law Pub.L.111-148, the Patient Protection and Affordability Care Act of 2010 (PPACA), on March 23, 2010, and Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 … [Read more...] about Health Care Reform and Low-Income Beneficiaries
Why Medicaid Matters to Medicare Beneficiaries and Their Families
Medicare and Medicaid, which together serve over 95 million Americans,[1] are our two major national public programs offering secure and stable access to health care for beneficiaries, and peace of mind to the their families. Medicaid is under … [Read more...] about Why Medicaid Matters to Medicare Beneficiaries and Their Families
2011 Poverty Levels Affect Eligibility for Many Federal Programs
Federal poverty level (FPL) guidelines for 2011 were published in the Federal Register January 20, 2011. 76 FR 3637 (January 20, 2011). The guidelines provide the baseline for eligibility levels for many public benefits, including health … [Read more...] about 2011 Poverty Levels Affect Eligibility for Many Federal Programs
Recommendations for a Beneficiary-Centered Office for Dual Eligibles
The Affordable Care Act creates an office within the Centers for Medicare & Medicaid Services (CMS) whose focus is beneficiaries who are eligible for both Medicare and Medicaid (dual eligibles). [1] Specifically, the Federal Coordinated Health … [Read more...] about Recommendations for a Beneficiary-Centered Office for Dual Eligibles
CMS Sanctions Missouri Medicaid for Overly Restrictive Home Health Standards
The state of Missouri requires Medicaid beneficiaries to be "confined to the home" in order to receive home health services provided under its Medicaid program. While this so-called "homebound" rule has been required by statute … [Read more...] about CMS Sanctions Missouri Medicaid for Overly Restrictive Home Health Standards
Goodbye POS, Hello LI NET: More Help for Dually Eligible People
In 2006 the Centers for Medicare & Medicaid Services (CMS) created the "Point-of-Sale Facilitated Enrollment" (POS) process, administered by WellPoint. The purpose of the POS is to assist people who are dually eligible for Medicare and … [Read more...] about Goodbye POS, Hello LI NET: More Help for Dually Eligible People