The Obama administration approved an Ohio proposal to better coordinate funding for residents receiving both need-based Medicaid and age- or ability-based Medicare — commonly known as "dual-eligibles" — according to a Columbus Dispatch report.
The plan, set to launch in September, will be piloted for three years and will cover about 114,000 dual-eligibles in 29 counties by divvying them up among selected private payors, including Aetna, Molina Healthcare, Centene Corp., UnitedHealth, Humana and nonprofit CareSource. If successful, the state hopes to improve care and save taxpayers $243 million by the end of 2016.
Dual-eligibles are among the costliest to insure because they are poor and generally have complex health problems from age or disability. In Ohio, such individuals account for just 14 percent of Medicaid enrollment, but 40 percent of spending, according to the report.
Massachusetts Becomes First State to Participate in CMS Dual Eligible Demonstration
CMS to Keep Enrollment for Dual-Eligibles Pilot Program Below 2M
The plan, set to launch in September, will be piloted for three years and will cover about 114,000 dual-eligibles in 29 counties by divvying them up among selected private payors, including Aetna, Molina Healthcare, Centene Corp., UnitedHealth, Humana and nonprofit CareSource. If successful, the state hopes to improve care and save taxpayers $243 million by the end of 2016.
Dual-eligibles are among the costliest to insure because they are poor and generally have complex health problems from age or disability. In Ohio, such individuals account for just 14 percent of Medicaid enrollment, but 40 percent of spending, according to the report.
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CMS to Keep Enrollment for Dual-Eligibles Pilot Program Below 2M