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CMS Highlights Opportunities for Dual-Eligible Beneficiaries

In a letter to state Medicaid directors, the Centers for Medicare & Medicaid Services (CMS) outlined new and existing opportunities to serve individuals dually eligible for Medicare and Medicaid.

The nation’s more than 12 million dual-eligible individuals have high rates of chronic conditions and social risk factors, accounting for a disproportionate share of spending in both the Medicare and Medicaid programs.

The letter describes 10 opportunities for states to better serve this population outside of waiver or demonstration approvals from CMS. The recommendations focus on four main themes, including:

  • integrating care between Medicare and Medicaid;
  • maximizing the use of Medicare data;
  • improving beneficiary experiences and reducing administrative burden; and
  • using CMS and peer-to-peer support

The letter refers state Medicaid directors to contacts at CMS and its resource centers to aid states interested in pursuing any of the suggested opportunities.

Contact Senior Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

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About the Author

Rachel Schwartz is a policy associate at America's Essential Hospitals.