There is Little Experience and Limited Data to Support Policy Making on Integrated Care for Dual Eligibles

This article focuses on state efforts to coordinate care for “dual eligiblesâ€â€”Americans covered by both Medicare and Medicaid—within an integrated plan. The study revealed that (1) most beneficiaries currently receive Medicare and Medicaid benefits separately through fee-for-service arrangements, and (2) states have only a patchwork of experience with program coordination and integration for this population. The authors also found major gaps in timely, publicly available data relevant to assessing enrollment in initiatives designed to improve care, outcomes, and program efficiency for dual eligibles.