Dual-eligible beneficiaries, or individuals who qualify for both Medicare and Medicaid benefits because of their income level and age or disability status, can face a range of challenges in navigating and coordinating care through two separate systems. This population also experiences worse health outcomes, on average, as well as higher healthcare expenditures than non-dual beneficiaries, leading to concerns that those barriers to care are increasing costs while producing poor results.
As part of an ongoing project to help address these issues by creating “a common understanding” of the dual-eligible population, the Medicare Payment Advisory Commission (MedPAC) and Medicaid and CHIP Payment Access Commission (MACPAC) recently released a data book containing detailed information about the 12.2 million dual-eligible beneficiaries in the United States.
In addition to providing an overview of the Medicare and Medicaid programs for dual-eligible beneficiaries, the new report also provides detailed breakdowns of this population along a range of characteristics, including:
- Demographics and personal characteristics, such as age, income, education, and residence.
- Program eligibility, enrollment, and utilization.
- Expenditures and healthcare spending.
- Health outcomes, including chronic condition diagnoses as well as self-reported health status.
For more information, you can read the full report here.
To learn about how Econometrica is helping States access and use Medicare data to improve care coordination and support for their dual-eligible beneficiaries, visit our State Data Resource Center project page.
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