This report examines how health policy for the beneficiaries of dual eligible enrollment, or those who qualify for both Medicare and Medicaid, can be improved. The report explains that dual eligibles are a vulnerable population, as they must navigate both Medicare and Medicaid to obtain health and long-term care services and funding for this population is significantly expensive. 

From report:

As the nation considers national health reform, this brief provides an overview of opportunities to realign federal and state policy for the dual eligibles to promote a more rational, cost-efficient system for 9 million of the poorest, sickest and highest-cost people covered by both Medicaid and Medicare.

Navigating two programs with different rules and financing incentives is complex for beneficiaries and providers, impedes efforts to improve care coordination and results in cost-shifting between programs that does not promote better outcomes.

Policy options examined in the brief include establishing a national route to provide financial assistance for low-income Medicare beneficiaries; developing systems that provide integrated acute and long-term services and supports; increasing the availability of home and community-based services; and providing more stable financing for coverage of this population.

Full report:  Health Reform Opportunities: Improving Policy for Dual Eligibles (PDF | 851.92 KB)

The Henry J. Kaiser Family Foundation. (2009). Health reform opportunities: improving policy for dual eligibles.