Introduction | p. 1 |
Dual Eligibles Defined | p. 3 |
Serving Dual Eligibles: Separate Systems | p. 8 |
Divided Responsibility: Implications | p. 10 |
Medicare-Medicaid System Reform Goals | p. 12 |
Federal and State Initiatives Serving Medicare-Medicaid Dual Eligibles | p. 18 |
Concerns About Integrating Acute and Long-Term Care | p. 31 |
Evidence of Risk Selection and Concerns about Inadequate Risk Adjustment | p. 36 |
Care Management in the Fee-for-Service System: An Alternate to Capitation | p. 41 |
Policy Implications | p. 45 |
Summary of federal and State Initiatives for Integrating Acute and Long-Term Care for Medicare-Medicaid Dual Eligibles | p. 49 |
Detailed Program Profiles Program for All-Inclusive Care of the Elderly (PACE) | p. 55 |
App. C: Waiver Authorities | p. 79 |
Index | p. 83 |
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