The Financial Alignment Models for Dual Eligibles: An Update

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Article Publication Date: 
11/1/2011
Summary: 
This policy brief provides information on Washington, DC and the 37 states that are planning to better integrate care for participants who are dually eligible for Medicare and Medicaid. The Center for Medicaid and Medicare Services (CMS) will allow states to select a capitated model, or a managed fee-for-service model, or they can use both models. Included is a chart explaining the main differences between the two models.
Topics: 
Medicaid
Programs/Initiatives: 
Affordable Care Act (ACA)
Keywords: 
Long-Term Care; Enrollment
financial management; responsible entities; benefits package; provider network adequacy; benefits financing; shared savings arrangement between CMS and the state; beneficiary input

Contact

Kaiser Commission on Medicaid and the Uninsured
kcmu@kff.org
Phone: 
202-347-5270

Short URL: http://www.advancingstates.org/node/53020