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Options to Integrate Health and Long-Term Care for Dual Eligibles
Date:3/10/2010

Annual costs of caring for this population are approximately $250 billion – nearly half of all Medicaid expenditures and a quarter of all Medicare outlays – causing concerned national and state policymakers to consider creative alternatives for improving quality of care that is also cost effective.

"Dual eligibles are among the nation's most chronically ill and most costly patients, but roughly 80 percent are in uncoordinated fee-for-service care," said Melanie Bella, senior vice president at CHCS. "Today, there is a growing imperative as well as unprecedented opportunities to fix this non-system of care. We hope this document opens up new avenues for states to explore higher-quality and more cost effective care for individuals who are dually eligible."

This technical assistance tool was created upon request from the California Department of Health Care Services (DHCS) to support discussions around the state's 1115 Medicaid waiver development, a process to improve health and long-term care services for low-income Californians.

"This document provides a clear understanding of what states can do to improve care for their dual eligible population," said DHCS Director '/>"/>

SOURCE The SCAN Foundation
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