Medicare-Medicaid Dual-Eligible

Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in

This paper is the third in a series on SNPs and their relationship to Medicaid. In the second paper of the series, we identified all states which had some kind of contractual relationship with SNPs prior to MIPPA, and classified those relationships into broad categories.

Tto understand better the Medicare Improvements for Patients and Providers Act (MIPPA) mandate for state Special Needs Plans (SNPs) contracting, it is important to understand the current status SNP contracting with state Medicaid agencies for their dually eligible members.

This Brief reviews the history and current status of federal special needs plans (SNPs) authority, with particular attention to provisions of interest to state Medicaid programs that have or are considering entering into contracts with SNPs to integrate or coordinate Medicaid long-term care services with Medicare primary, acute and prescription drug services for dually eligible beneficiaries.

This report presents results of efforts to match Medicare and Medicaid data for 1996. It describes the data sets and methods used in the study; presents the results for physician (medical), outpatient, and inpatient claims; and briefly concludes the analysis. [33 PDF pages]