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This report estimates that public financial and personal clinical outcomes can be improved by moving dual eligibles to capitated managed care. The authors view the clinical and eligibility characteristics of dual eligibles as well-matched to the strengths of integrated care programs. The document lays out the reasoning and data behind the estimate, recommends policy changes needed to make the transition, identifies potential barriers to implementation and offers examples from KY and MN. 

 

Medicaid; Expenditures; Dual Eligibles; managed care; capitated services; Medicare; expenditures; Passport Advantage; Senior Health Options; Kentucky’s Passport Advantage Program; Minnesota Senior Health Options (MSHO); 

Aging Issues, Long-Term Care, Medicaid 

Data, Policy alerts, briefs, letters & papers, Reports 

The Lewin Group 

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, All States/Territories 

12/10/2008 

Lewin Group
703-269-5500