The Affordable Care Act created the Centers for Medicare and Medicaid Innovation and within that, the Federal Coordinated Health Care Office.
This new office is charged with integrating benefits between Medicare and Medicaid, improving coordination between state and federal governments, addressing cost shifting between the two programs and developing new strategies to improve care coordination and cost effectiveness.
To date, the Federal Coordinated Health Care Office has funded 15 states to develop innovative approaches to dual eligibles. The law also empowers the Independent Payment Advisory Board and the Medicaid and CHIP Payment and Access Commission (MACPAC) to address the high costs associated with dual eligibles.
The law lowers payments to Medicare Special Needs Plans that had focused on dual eligibles and expands a number of existing programs intended to improve care management for dual eligibles through expanded use of home and community-based care.
The Affordable Care Act aims to improve care for dual eligibles by strengthening quality measures, care integration and access to home and community-based long-term care.
What Happens to Medicaid Under the Affordable Care Act (ACA)?
Are There Examples in the States of Novel Approaches to Managing Dual Eligibles?
Who Are Dual Eligibles?
Who Is the Primary Payer for Dual Eligibiles?
How Is Medicaid Financed?