If your organization is providing services for people with disabilities, you are likely serving many individuals who are dually eligible for both Medicaid and Medicare benefits. These ‘dual eligible’ consumers not only have complex support needs, but also a very complex funding mechanism to pay for the services they need. As a result of being eligible for health care services through two separate payers, most dual eligibles are enrolled to receive benefits in two separate payer systems — one for Medicare services and another for Medicaid services. The key for provider organization strategy is to understand the size and complexities (as . . .
Management Newsletter Article |