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.
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.
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.
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.
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