Dually Eligible for Medicare and Medicaid: Two for One or Double Jeopardy?

Authors

Jennifer Ryan, George Washington University
Nora Super, George Washington University

Document Type

Issue Brief

Publication Date

9-30-2003

Abstract

This issue brief describes the characteristics of the population of individuals known as “dual eligibles,” who are eligible for health insurance coverage through both Medicare and Medicaid. It also looks at the differences between “full Medicaid” and “supplemental Medicaid” dual eligibles and the ongoing challenges associated with enrollment and eligibility, integration and coordination, and managed care. The paper presents several examples of integrated care programs designed to better serve the dual-eligible population, including the Program of All-Inclusive Care for the Elderly, Evercare, social health maintenance organizations, and state/federal initiatives such as the Wisconsin Partnership Program, Texas STAR+PLUS, and others. Finally, it considers the implications for dual eligibles of the House and Senate Medicare prescription drug proposals.

Comments

Issue brief no. 794

Recommended Citation

Ryan, Jennifer and Super, Nora, "Dually Eligible for Medicare and Medicaid: Two for One or Double Jeopardy?" (2003). National Health Policy Forum. Paper 112.
https://hsrc.himmelfarb.gwu.edu/sphhs_centers_nhpf/112

Open Access

yes