CMS to Keep Enrollment for Dual-Eligibles Pilot Program Below 2M

Melanie Bella, director of CMS' Medicare-Medicaid Coordination Office, confirmed that the federal agency would keep enrollment for the dual eligibles demonstration project to 2 million people.

So far, 26 states have submitted proposals to CMS to experiment with capitated payments and managed fee-for-service approaches for 3 million patients who qualify for both Medicaid and Medicare. Critics have expressed concern that the scope of the demonstration project is too broad. They include Sen. Jay Rockefeller (D-W.Va.), who recently asked HHS to halt implementation of the program in order to develop a "well-designed and thoroughly evaluated care coordination model for dual eligibles that meets the standards outlined in the [Patient Protection and Affordable Care Act]."

More Articles on Dual-Eligibles:

13 Recent Medicare, Medicaid Issues

Who, What and Why: The Basics of Integrated Care Organizations

Study: Little Experience Coordinating Care for Dual Eligibles Warrants Caution

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Whitepapers

Featured Webinars