Dual Eligibles

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Coordinated solutions to improve quality-of-care and reduce redundancies

Dual Eligibles

Dual eligibles, the approximately nine million individuals who qualify for both Medicare and Medicaid, account for a disproportionate share of health care costs to the federal and state governments. The Affordable Care Act sought to address this by creating the Medicare-Medicaid Coordination Office at the Centers for Medicare and Medicaid Services (CMS) to improve coordination between the federal government and states for Medicare and Medicaid benefits, with the goal of improving access to and quality of care and services for dual eligibles.

Turn to Medicaid and Medicare Administration Experts

For more than 40 years, MAXIMUS has been administering Medicaid and Medicare programs for state and federal governments. Because we’re deeply embedded in so many public health insurance programs, we have leading-edge processes to integrate the dual eligibles — who currently account for $300 billion in federal and state spending every year — into managed care programs. Effectively enrolling this population into managed care programs is projected to save federal and state governments as much as $125 billion in 10 years. MAXIMUS helps you establish and operate a dual eligible program to lower costs, provide equal or better quality-of-care, and eliminate future cost obligations and projections. We customize our suite of solutions to fit the needs of your state while meeting federal goals and regulations.

MAXIMUS draws on cutting-edge resources, on-the-ground outreach, and unparalleled experience with similar programs to communicate with qualified participants, clearly explain the benefits and health plans, and get these beneficiaries enrolled in your program — saving you time and money and improving the care coordination of this population.