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

s="xn-person">David Maxwell-Jolly. "With over 1 million dual eligibles, California has about 13 percent of the nation's total dual beneficiaries. We look forward to thinking through options on how to improve their care in our state."

The four proposed options for integrating Medicare and Medicaid services are compared in the easy-to-follow tool. The document suggests that options must include the following core elements to provide beneficiaries with the right care at the right time: strong patient-centered care; interdisciplinary care teams; provider networks capable of meeting a full range of patient needs; enhanced use of home- and community-based services; robust data sharing; consumer protections; and financial alignment that supports integration.

Specifically, the options include:

  • Special Needs Plans (SNPs) – SNPs for dual eligibles establish relationships between Medicare Advantage plans and state Medicaid agencies. Through these arrangements, states and SNPs can offer the full array of Medicare, Medicaid, and supplemental benefits within a single plan so beneficiaries have one benefit package and one set of providers to obtain care.
  • Program for All-Inclusive Care for the Elderly (PACE)
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SOURCE The SCAN Foundation
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