The Faces of Medicaid III: Refining the Portrait of People with Multiple Chronic Conditions

December 16, 2009 This article was written by Richard G. Kronick, PhD, University of California, San Diego, Melanie Bella, Center for Health Care Strategies, Todd P. Gilmer, PhD, University of California, San Diego. It writes that in Medicaid, the elderly and adults with disabilities make up only 25 percent of beneficiaries, but account for a majority of program spending. Within this population, fewer than 5% of beneficiaries account for more than 50% of overall Medicaid costs. Most of these high-cost beneficiaries receive care within an unmanaged fee-for-service delivery system, and the majority of them would benefit greatly . . .