Under the Financial Alignment Demonstration, CMS and the state will contract with integrated care organizations using a capitated model to coordinate the delivery of care for these individuals.
CMS announced the demonstration last July. It plans to test the effectiveness of both capitated and managed fee-for-service models for dual eligibles, a group whose care exceeds $300 billion annually across both Medicare and Medicaid.
More Articles on Dual Eligibles:
CMS to Keep Enrollment for Dual-Eligibles Pilot Program Below 2M
Study: Little Experience Coordinating Care for Dual Eligibles Warrants Caution