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WHITE PAPER SERIES

Navigating the Intersection of Medicare and Medicaid – Dual-Eligible Beneficiaries

12 April 2024

We are excited to introduce a white paper series entitled "Navigating the Intersection: Dual-Eligible Beneficiaries." The series is designed to provide an in-depth exploration of the complexities and challenges faced by states and payers related to individuals who are eligible for both Medicare and Medicaid, known as dual-eligible beneficiaries. In this first paper, we give an overview of dual-eligible membership, including its history, eligibility criteria, and the benefits available to dual-eligible beneficiaries. The main sections of the paper include the following:

  • Eligibility and benefits
  • Membership and cost growth
  • How Medicaid pays Medicare premiums
  • Dual managed care programs

About the Author(s)

Dean Johnson

Nick Gipe

Jessica Bertolo

Marlene Howard

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