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• « Dual Eligibles / Integrated Care

dults who are dually eligible for Medicaid and Medicare (the "duals") are among the nation's most chronically ill and costliest patients, accounting for close to 50 percent of all spending within Medicaid and 25 percent within Medicare. Yet, the majority of dual eligible beneficiaries receive fragmented and poorly coordinated care. Integrating Medicare and Medicaid services offers tremendous promise in ensuring that dually eligible adults receive the right care in the right setting, rather than receiving care driven by conflicting state and federal rules and siloed funding streams. 

In the past decade, the Center for Health Care Strategies (CHCS) has worked extensively with leading states and health plans as well as federal policymakers to spearhead innovative approaches for integrating Medicare and Medicaid services. Through our work, we have amassed a wealth of resources related to integrating care. This online toolkit shares these resources, including policy-related materials, hands-on tools to help guide state efforts, as well as sample documents from states that have successfully implemented integrated approaches for duals. Content will be updated regularly.

Click on the "Table of Contents" for a drop-down menu of toolkit sections.