State Planning for a High Performance Health System for Medicare/Medicaid Dual Eligibles


Medicare and Medicaid have long suffered from misaligned coverage and payment policies and conflicting incentives, leading to inefficient practices and high costs. Among those most hurt by these deficiencies are individuals qualifying for both Medicare and Medicaid—the "dual eligibles"—who often contend with fragmented care and confusing rules. The creation of the new Federal Coordinated Health Care Office and the Center for Medicare and Medicaid Innovation provides an unprecedented opportunity to align the two insurance programs, provide better care to beneficiaries, and slow spending growth. The Center for Health Care Strategies is proposing to work with 10 to 15 states that are ready to implement integrated-care demonstration models. The team will facilitate communication between the states and federal government to ensure these demonstrations meet the goals of both programs and their beneficiaries.

Grant Details

Grantee Organization:
Center for Health Care Strategies, Inc.
Principal Investigator:
Stephen A. Somers, Ph.D.
Award Amount:
Approval Date:
April 12, 2011

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