Briefs & Reports

2012 HMA Staff Retreat: Dual eligible trends and innovations

HMA colleagues from across the country recently gathered together in Chicago to collaborate on emerging trends and innovations in publicly financed health care.  This year’s forum focused on Medicaid-Medicare dual eligible policy, financing, and the related opportunities and challenges ahead for HMA clients.

There are more than 9 million dual eligibles today.  These individuals represent 10 percent of the total Medicaid and Medicare membership, yet they consume 32 percent of total expenditures.  Federal and state health reform is calling for new thinking and new approaches to the integration of care and financing of care for this growing, high-demand, high-cost population.

States are debating how to balance the price tag while seeking the best models of care.  Health plans are enhancing care management, expanding provider networks and developing their capacity to meet the unique needs of this population.  Providers are adapting practices of care and are preparing for different reimbursement models.  Associations are seeking assistance in identifying the best ways to represent member interests in context of the changing paradigm.  Foundations are looking for ways to monitor and eventually evaluate the impact of changes in policy and practice. 

Several featured presenters shared their perspectives on dual eligibles including:

Susan Reinhard  | AARP Policy Institute
Joe Baker | Medicare Rights Center
Pam Parker, MPA | Independent State Medicaid Expert
Tom Lyman and Dr. Eric Berman | AmeriHealth Mercy
Mary Kennedy | Association for Community Affiliated Plans

Over the next few months, HMA will explore dual eligible issues in-depth through a series of client briefs, webinars and more.  To subscribe, simply Contact Us and put “Dual Eligible Series” in the email subject line.