Integrating Care for Dual Eligibles: Capitated Managed Care Options
October 5, 2010 This presentation, published by Mathematica Policy Research, Inc., discusses integrated care for dual eligibles. Less than ten states currently include dual eligibles in capitated managed care organizations (MCOs) that cover a significant portion of their Medicare and Medicaid benefits. Several more states are developing programs to do so, with an emphasis on covering long-term supports and services. States generally rely on Medicare dual eligible Special Needs Plans (SNPs) for these programs, but there also may be a niche for institutional SNPs. Managed long-term care (LTC) for duals presents major opportunities for states and major challenges . . .
