Health Affairs and the Robert Wood Johnson Foundation have published a brief that describes new approaches for coordinating care of people who are eligible for both Medicare and Medicaid. Because the cost of caring for this population is significantly higher than others covered under the programs, cost reduction without sacrificing quality of care is a challenge and focus of the brief. The Centers for Medicare & Medicaid Services estimates that 45 percent of hospitalizations of these individuals could have been avoided.
The brief looks at efforts underway to control costs, including care coordination initiatives, blended rate initiatives and interventions designed to reduce hospitalizations that are set to be tested. Demonstrations working toward the goals set forth in the brief are slated to start as early as January 1, 2013.