Integrated benefit programs: The future for dual eligibles

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By Melissa Fredericks, Pamela M. Pelizzari | 04 June 2015
Nationwide, there are about 9.6 million dual-eligible individuals (those eligible for both Medicare and Medicaid), and average spending for them is about $2500 per month. Traditionally, the healthcare services that this population needs have been funded in silos. There are many programs and demonstrations under way to test the theory that coordinating all benefits under a single umbrella will lead to better care and lower spending. This paper focuses on the key features of the existing dual-eligible demonstration programs and offers a view of what the next wave of innovation may look like.