The New York State Department of Health has issued a proposal to contract with accountable care organizations for dual-eligibles for Medicare and Medicaid.
There are roughly 700,000 individuals in New York who are eligible for Medicare and Medicaid. They consume approximately 45 percent of Medicaid and roughly 41 percent of Medicare spending. Under this proposal, New York would seek a waiver from CMS to partner with health plans or accountable care organizations under sub-capitation arrangements, according to the report.
The report says the arrangement would provide dual-eligibles with better access to coordinated care, generate savings for the federal government and help New York providers and/or health plans by simplifying administration and providing an opportunity to share in savings.
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There are roughly 700,000 individuals in New York who are eligible for Medicare and Medicaid. They consume approximately 45 percent of Medicaid and roughly 41 percent of Medicare spending. Under this proposal, New York would seek a waiver from CMS to partner with health plans or accountable care organizations under sub-capitation arrangements, according to the report.
The report says the arrangement would provide dual-eligibles with better access to coordinated care, generate savings for the federal government and help New York providers and/or health plans by simplifying administration and providing an opportunity to share in savings.
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