Dual-eligible beneficiaries—individuals who qualify for both Medicare and Medicaid—represent one of the most complex patient populations in the U.S. healthcare system. They often have multiple chronic conditions, disabilities, and social determinants of health (SDOH) that make coordinating their care a significant challenge.
A study conducted by researchers from William & Mary, Virginia
Individuals who qualify for both Medicare and Medicaid are termed
Dual-eligible beneficiaries—12.5 million Americans qualifying for both Medicare and Medicaid—represent a vulnerable population with complex healthcare needs, accounting for disproportionate healthcare spending and facing significant challenges in care coordination and access to comprehensive, integrated health services.
The MLTSS Association and SNP Alliance have collaborated to develop state scenario slides analyzing how the CY 2025 Medicare Advantage and Part D Final Rule could impact D-SNPs and state programs
Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for individuals who qualify for both Medicare and Medicaid. These individuals often face complex medical needs and financial challenges, yet the existing systems can be fragmented, leading to poor health outcomes.
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.
Sign up for newsletter
© 2025 ALL RIGHTS RESERVED
