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CMS Promotes Innovation for Dual-Eligible Beneficiaries

In a letter to state Medicaid directors, the Centers for Medicare & Medicaid Services (CMS) encouraged states to partner with the agency to test innovative approaches to better serve beneficiaries who are dually eligible for Medicare and Medicaid.

The letter highlights the challenges of treating dual-eligible individuals, who typically have high rates of chronic illness and social risk factors. CMS outlines three opportunities for states to pilot innovative approaches to improve care integration and quality:

  • the Medicare-Medicaid financial alignment initiative;
  • integrating care through the managed fee-for-service model; and
  • state-specific models, which have not yet been implemented.

This months’ letter  follows a December 2018 letter to state Medicaid directors highlighting 10 opportunities to better serve dually eligible individuals.

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.

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