Supporting Alternative Integrated Models for Dual Eligibles: A Legal Analysis of Current and Future Options

November 9, 2009 This article was written by Sara Rosenbaum, George Washington University, Jane Hyatt Thorpe, George Washington University, and Sara Schroth, George Washington University. Among the most pressing health care reform issues likely to be left for future policy debate is how to advance integration of care for those who are eligible for both Medicare and Medicaid ("dual eligibles"). Ironically, these beneficiaries are the ones most likely to be in fragmented fee-for-service systems of care. The resulting costs are enormous. Unfortunately, existing policies present myriad barriers to innovations in care at the state and local levels. The . . .