States Increasingly Coordinating Care for Dual Eligibles with Managed Care, FAIs, and PACE

May 2, 2023

Dual eligible special needs plans often run up against significant difficulties coordinating care for beneficiaries. A recent analysis by the Kaiser Family Foundation (KFF) examined how states accomplish this complex task, finding that many use managed care, a Financial Alignment Initiative (FAI), or rely upon the Program of All-Inclusive Care for the Elderly (PACE).

According to Kelsey Waddill, “PACE, a program that offers medical and social services benefits to individuals who meet certain criteria, has had positive outcomes, the researchers noted. They added that the Financial Alignment Initiative—and the Medicare-Medicaid plans that often result—has had a mixed impact. CMS is expected to end the Medicare-Medicaid model in the next two years.”

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(Source: Health Payer Intelligence, May 1st, 2023)

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