Dual eligibles: A statistical overview

Medicare covers largely elderly individuals, the disabled, and individuals with end stage kidney disease. Medicaid covers low-income individuals. So who are dual eligibles, that qualify for both programs? The Medicaid and CHIP Payment and Access Commission (MACPAC) and the Medicare Payment Advisory Commission (MedPAC) put out a report last year providing a summary of the…

What’s a ‘dual’?

Nine million individuals qualify for both Medicare and Medicaid health insurance.  These individuals, known as dual-eligibles, rank among the most expensive Medicare and Medicaid beneficiaries.  Duals are frequently hospitalized and often need long-term care.  In fact, most state spending for dual eligibles focuses on long-term care supports and services. The federal government pays the bulk…