AMBULATORY CARE;
ARTICLE;
COMMUNITY CARE;
DECISION MAKING;
HEALTH CARE COST;
HEALTH CARE DELIVERY;
HEALTH CARE UTILIZATION;
HEALTH SURVEY;
HOME CARE;
HUMAN;
LONG TERM CARE;
MAJOR CLINICAL STUDY;
MEDICAID;
MEDICARE;
AGED, 80 AND OVER;
COST CONTROL;
DATABASES, FACTUAL;
ELIGIBILITY DETERMINATION;
HEALTH CARE COSTS;
HEALTH CARE SURVEYS;
HUMANS;
MEDICAID;
MEDICARE;
PATIENT PROTECTION AND AFFORDABLE CARE ACT;
UNITED STATES;
Centers for Medicare and Medicaid Services. Baltimore (MD): CMS;; 2011 May 11 [cited 2012 Mar 15]
Centers for Medicare and Medicaid Services. Fact sheets: people enrolled in Medicare and Medicaid [Internet]. Baltimore (MD): CMS; 2011 May 11 [cited 2012 Mar 15]. Available from: http://www.cms.gov/apps/media/press/factsheet.asp?Counter=3954
House Energy and Commerce Committee. Washington (DC): The Committee; 2011 Jun 21 [cited 2012 Apr 10]
House Energy and Commerce Committee. Dual-eligibles: understanding this vulnerable population and how to improve their care: hearing before the Subcommittee on Health of the House Committee on Energy and Commerce, 112th Cong., 1st Sess. [Internet]. Washington (DC): The Committee; 2011 Jun 21 [cited 2012 Apr 10]. Available from: http://democrats.energycommerce.house.gov/index.php?q=hearing/hearingon-dual-eligibles-understandingthis-vulnerable-population-andhow-to-improve-care
Washington (DC): Kaiser Commission on Medicaid and the Uninsured; 2010 Dec
Rousseau D, Clemans-Cope L, Lawton E, Langston J, Connolly J, Howard J. Dual eligibles: Medicaid enrollment and spending for Medicare beneficiaries in 2007. Washington (DC): Kaiser Commission on Medicaid and the Uninsured; 2010 Dec.
Centers for Medicare and Medicaid Services. Baltimore (MD): CMS; [cited 2012 Apr 10]
Centers for Medicare and Medicaid Services. Overview: about the Medicare-Medicaid coordination office [Internet]. Baltimore (MD): CMS; [cited 2012 Apr 10]. Available from: http://www.cms.hhs.gov/Medicare-Medicaid-Coordination/Medicareand-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/index.html
Innovation in Medicare and Medicaid will be central to health reform's success
Guterman S, Davis K, Stremikis K, Drake H. Innovation in Medicare and Medicaid will be central to health reform's success. Health Aff (Millwood). 2010;29(6):1188-93.
Walsh EG, Freiman M, Haber S, Bragg A, Ouslander J, Wiener JM. Cost drivers for dually eligible beneficiaries: potentially avoidable hospitalizations from nursing home facility, skilled nursing facility, and home and community-based service waiver programs: report to the Centers for Medicare and Medicaid Services. Waltham (MA): RTI International; 2010 Aug.
Baltimore (MD): Centers for Medicare and Medicaid Services; 2011 [cited 2012 Mar 15]. (Policy Insight Brief)
Segal M. Dual eligible beneficiaries and potentially avoidable hospitalizations [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; 2011 [cited 2012 Mar 15]. (Policy Insight Brief). Available from: https://www.cms.gov/Insight-Briefs/downloads/PAHInsightBrief.pdf
There are several ways in which Medicare beneficiaries can qualify for some level of Medicaid benefits and become a dual eligible. Dual eligibles include elderly and disabled beneficiaries who receive cash assistance through the Supplemental Security Income program, the federal program that provides cash assistance to low-income aged and disabled people. They also include elderly Medicare beneficiaries who spend down their financial resources in nursing homes and qualify for Medicaid. The dual-eligible population also includes poor elderly Medicare beneficiaries who rely on Medicaid's community-based longterm care services. Although most dual eligibles receive full Medicaid benefits, some receive assistance with Medicare premiums and other cost-sharing requirements only. People who qualify for this level of assistance generally have limited income and resources but do not meet the state's Medicaid eligibility standards. Here we refer to these beneficiaries as "partial duals."
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Medicare Payment Advisory Committee. Washington (DC): Med-PAC; 2010 Jun
Medicare Payment Advisory Committee. Report to the Congress: Medicare and the health care delivery system. Washington (DC): Med-PAC; 2010 Jun.
Kaiser Commission on Medicaid and the Uninsured. Washington (DC): The Commission; 2010 May
Kaiser Commission on Medicaid and the Uninsured. Dual eligibles: Medicaid's role for low-income Medicare beneficiaries. Washington (DC): The Commission; 2010 May.
