Medicare/Medicaid Dual Eligibles: Reaching All Who Qualify


Most low-income Medicare beneficiaries are entitled to help from Medicaid or from Medicaid-administered Medicare Savings Programs to pay for some or all of their uncovered health care expenses. Despite their need for such assistance, only about 60 percent of eligible beneficiaries are enrolled. For this project, the National Academy of Social Insurance will examine options for strengthening the federal role in the identification and enrollment of eligible people in these programs. Possibilities include: 1) simplification of eligibility, for example, by implementing presumptive eligibility or removing asset tests; 2) increasing federal operating responsibility, such as requiring the Social Security Administration to enroll eligible beneficiaries; and 3) increasing federal financing, for example, by making federal government fully responsible for Medicare Savings Programs. An advisory panel will assist project staff in identifying the issues, commissioning papers on the options, synthesizing conclusions, and evaluating their implications and feasibility.

Grant Details

Grantee Organization:
National Academy of Social Insurance
Principal Investigator:
Kathleen King, M.A.
Award Amount:
Approval Date:
July 8, 2003

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