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Celebrating 35 years of making Medicare more accessible, affordable, and equitable!

Medicare-Medicaid Integration

The case study series, Challenges Faced by Dual Eligibles, is designed to help policymakers, advocates, beneficiaries, and their families better understand the challenges faced by people with Medicare. Each case study tells the story of a client who called the Medicare Rights Center’s National Helpline seeking assistance. The cases highlight common obstacles and suggest possible solutions.

This case study explores common issues with unintegrated care for individuals dually eligible for Medicare and Medicaid. The challenge of making two types of coverage work together too often falls to the beneficiary and their family/caregivers, providers, and community organizations. However, payers can eliminate some of these challenges through program and plan designs that aim to coordinate and combine Medicare and Medicaid services and payments. Integrated care refers to the coordination of Medicare and Medicaid benefits for dually eligible beneficiaries. Such coordination is most often accomplished through managed care plans and programs that pay for and deliver a person’s Medicare and Medicaid services.

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September 10, 2024  
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September 10, 2024  
Positions and Publications
September 10, 2024  
Positions and Publications
September 10, 2024  
Positions and Publications
September 9, 2024  
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Protect & Strengthen Medicare

Any changes to the Medicare program must aim for healthier people, better care, and smarter spending—not paying more for less. As policymakers debate the future of health care, we will provide our insights here.

30 Policy Goals

Thinking ahead to Medicare's future, it’s important to modernize benefits and pursue changes that improve how people with Medicare navigate their coverage on a daily basis. Here are our evolving 30 policy goals for Medicare’s future.

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CELEBRATING

YEARS

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Help us honor 35 years of making Medicare more affordable, accessible, and equitable. Sign up to receive special alerts with ways to support our 35 years of service to older adults and people with disabilities. Learn more at www.medicarerights.org/35.