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New Report Provides Detailed Data on Beneficiaries Who Are Dually Eligible for Medicare and Medicaid

Data Book

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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Econometrica’s Imelda Flores Vazquez Honored

Lathisms: Latinxs and Hispanics in the Mathematical Sciences has chosen Imelda Flores Vazquez as an 2021 Lathisms honoree. Lathisms was founded in 2016 to showcase the work and contributions of Latinx and Hispanic mathematicians during National Hispanic Heritage Month, which begins September 15. The organization has two goals: “celebrate mathematicians working outside of academia and highlight for future generations of mathematicians the many career possibilities that can be achieved with a mathematics degree.”

Imelda has been a key member of Econometrica’ Data Analytics Group since 2020. She is a mathematician and economist with years of experience leading economic, financial, and statistical analyses in the private and public sectors. She has led and performed policy and program evaluations, fiscal estimation of proposed legislation, budget forecasting, predictive analyses for program design, analyses on geographical disparities in health outcomes and health resources, and fraud detection for transparency programs. In particular, she is a subject matter expert on Medicaid data analysis and its State operations, the Accountable Care Organization model, the Oncology Care Model, and other alternative payment methods.

A profile about Imelda can be found in the September 2021 issue of Notices of the American Mathematical Society.

Imelda Flores
Imelda Flores Vazquez – Senior Economist at Econometrica, Inc.