Supercommittee Evaluates Medicare-Medicaid Dual Eligibles
State Medicaid directors and health insurance trade groups are asking the supercommittee to allow states to mandate that most or all dual eligibles instead enroll in private plans that can closely manage their health.
Patients over the age of 65 who also report a low enough income can be eligible for Medicare and Medicaid. As a group, dual eligibles cost states and federal governments a combined $300 billion annually. They comprise 16 percent of Medicare enrollees but account for 27 percent of its spending. They also make up 15 percent of Medicaid beneficiaries but account for 39 percent of its spending.
Dual eligibles are covered by Medicare for basic acute-care services, such as physician, hospital and prescription drug costs. Medicaid pays for long-term care in nursing homes and other facilities.
Related Articles on Coding, Billing and Collections:
AHIMA Disappointed With AMA's Opposition to ICD-10 Implementation
Missouri Likely to Pass on Implementing Health Insurance Exchange
Employer Health Insurance Premiums Increased 50% From 2003-2010
© Copyright ASC COMMUNICATIONS 2016. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.