| Description |
1 online resource (ii, 41 p.) : col. ill. |
| File Type |
Text in PDF format. |
| System Details |
Mode of access: World Wide Web. |
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System requirements: Adobe Acrobat reader. |
| Note |
Title from title caption (viewed on Dec. 31, 2012). |
|
"September 2012." |
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QR code for online version of document included on title page. |
| Summary |
About 9 million of Medicare's over 48 million beneficiaries are also eligible for Medicaid because they meet income and other criteria. These dual-eligible beneficiaries have greater health care challenges than other Medicare beneficiaries, increasing their need for care coordination across the two programs. In addition to meeting all the requirements of other MA plans, D-SNPs are required by CMS to provide specialized services targeted to the needs of dual-eligible beneficiaries as well as integrate benefits or coordinate care with Medicaid services. GAO was asked to examine D-SNPs' specialized services to dual-eligible beneficiaries. GAO (1) analyzed the characteristics of dual-eligible beneficiaries in D-SNPs and other MA plans, (2) reviewed differences in specialized services between D-SNPs and other MA plans, and (3) reviewed how D-SNPs work with state Medicaid agencies to enhance benefit integration and care coordination. GAO analyzed CMS enrollment, plan benefit package, projected revenue, and beneficiary health status data; reviewed 15 D-SNP models of care and 2012 contracts with states; and interviewed representatives from 15 D-SNPs and Medicaid agency officials in 5 states. |
| Bibliography |
Includes bibliographical references. |
| Note |
"GAO-12-864." |
| Subject |
Centers for Medicare & Medicaid Services (U.S.) -- Rules and practice.
|
|
Medicare.
|
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Centers for Medicare & Medicaid Services (U.S.) |
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Medicare -- organization & administration. |
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Medicaid -- organization & administration. |
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Dual MEDICAID MEDICARE Eligibility. |
| Added Title |
Medicare special needs plans : Centers for Medicare & Medicaid Services should improve information available about dual eligible plans' performance |
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CMS should improve information available about dual-eligible plans' performance |
| Running Title |
Dual-eligible special needs plans |
| Gpo Item No. |
0546 (online) |
| Sudoc No. |
GA 1.3:GAO-12-864 |
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