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Challenges Faced by Dual Eligibles

Access to Cost-Saving Programs

This series of case studies is intended to help policymakers make informed decisions about improving benefits access and coordination for people eligible for both Medicare and Medicaid, otherwise known as dually eligible individuals, or sometimes “duals” for short.

The case studies follow our clients and counselors, demonstrating how simple changes in the collaboration between Medicare and Medicaid can significantly improve access to affordable health care. From these real-life experiences, we derive our policy recommendations, aiming to make these vital programs—and other cost-saving programs like Medicare Savings Programs (MSPs) — more accessible, user-friendly, and sustainable for everyone.

This work was supported in part by Arnold Ventures and the West Health Policy Center. Medicare Rights Center maintains full editorial control over all of its policy analysis and communications activities.

Resources in This Series

Positions and Publications

Medicaid Renewal

Renewing Aged, Blind, and Disabled Medicaid is necessary to maintain benefits. This case study contrasts a complicated renewal process with one eased by COVID-19 public health emergency flexibilities, arguing for lasting reforms in Medicaid renewal procedures. 

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Positions and Publications

Medicare Savings Program Enrollment

This case study focuses on how automatic enrollment in Medicare Savings Programs can remove many individuals' barriers when enrolling. Simplifying the enrollment process is essential to increasing participation and ensuring that more people can benefit from these vital programs. 

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Positions and Publications

Medicare Savings Program Recertification

Medicare Savings Program recertification varies widely nationwide. This case study compares two experiences—one with automatic recertification and one with a more complex process—to illustrate the need for nationwide Medicare Savings Program recertification improvements. 

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Positions and Publications

Medicare-Medicaid Integration

Coordinating benefits and services for dually eligible individuals is often complex and disjointed. This study examines the challenges of poorly integrated care and offers recommendations for improving integration at both state and federal levels. 

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