States could also save $34 billion over that decade, the report said. As of 2010, there were more than 9 million dual eligibles, who traditionally have higher rates of chronic illness and nursing home admissions. They account for 36 percent of total Medicare spending and 39 percent of total Medicaid spending, and in 2011, it is estimated the federal government will spend more than $230 billion on dual eligibles.
Mr. Thorpe outlined the proposal with three major points:
• All dual eligibles would be enrolled in a health plan with the opportunity to opt out.
• States can design their own models, but each model would include evidence-based functions such as preventive and transitional care.
• Health plans would be responsible for coordinating, integrating and developing all care coordination functions.
Related Articles on Dual Eligibles:
Republican Governors Outline 31 “Solutions” to Fix Medicaid
15 States Develop Plans to Better Integrate Care for Dual Medicare, Medicaid Recipients
Dual Eligible Patients Have Much Higher Hospitalization Rates
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