View the event recording.

The slide presentations are available at the bottom of this page.


More than seven million Americans qualify as "dual eligibles" -- low-income seniors and people with disabilities who are enrolled in both Medicare and Medicaid. Average health care costs for dual eligibles are double those of other Medicare beneficiaries, amounting to more than 40% of total Medicaid spending and almost one quarter of Medicare expenditures. Confronting fragmented systems of care, duplicative services, and misalignments in state and federal financing represent key opportunities to maximize the use of public health dollars to improve the quality of care for these adults.

In this online event, cosponsored by the Center for Health Care Strategies (CHCS), experts identified who the dual eligibles are, described their health needs and costs, and considered innovative strategies to provide cost-effective, high-quality care for this population. Our expert panel discussed policy implications and shared preliminary examples of how Medicare-Medicaid demonstration projects and Special Needs Plans can address the needs of dual eligibles. The forum then invited feedback from the audience.


Center for Health Care Strategies, Inc.

Integrated care program page

CHCS. (2006). Integrated Care Program Design, Rate Setting, and Risk Adjustment: A Checklist for States.

CHCS. (2006). Integrated Care Program: Performance Measures Recommendations.

CHCS. (2006). Medicare Advantage Rate Setting and Risk Adjustment: A Primer for States.

CHCS. (2005). Integrating Long-Term Care: Lessons from Building Health Systems for People with Chronic Illnesses.

Centers for Medicare and Medicaid Services (CMS)

Dual eligibles overview

Integration fact sheet

How-to guides (scroll down)

CMS. (2006). State Guide to Integrated Medicare & Medicaid Models

Kaiser Family Foundation

Dual eligibles page/overview

KFF. (2006). Dual Eligibles: Medicaid's Role for Low-Income Medicare Beneficiaries. (fact sheet)

KFF. (2006). Medicare- Medicaid Policy Interactions.


Center for Health Program Development and Management - Home page

Freking, Kevin. (2006).  "Medicare to Cease Automatic Enrollment."  Washington Post.  Oct 18.

U.S. General Accounting Office. (2000). Medicare and Medicaid: Implementing State Demonstrations for Dual Eligibles Has Proven Challenging.

Medicare Payment Advisory Commission (MedPAC; 2006). 2006 Chartbook, Section 3: Dual Eligibles.

Congressional Research Service. (2006). CRS Report for Congress: Integrating Medicare and Medicaid Through Managed Care.

National Policy Research Forum. (2005). Medicaid Advantage SNPs: A New Opportunity for Integrated Care? (Issue brief)

National Governor's Association. (June 12, 2006). Letter to Medicaid Commission.