On April 14, the Centers for Medicare and Medicaid Services (CMS) announced grants to 15 states to improve care to individuals eligible for both Medicare and Medicaid.
States pursuing the demonstration grants had offered up a range of potential approaches to improving care within the expensive dual-eligible population, though with some common features. States wanted CMS to share Medicare savings, with several suggesting Medicare and Medicaid funding streams be combined to avoid cost shifting. Many states also want to automatically enroll Medicare beneficiaries, and several suggested an opt-out approach.
CMS Administrator Don Berwick had previously said that the duals demonstration project would be a key priority for the CMS Innovation Center. The funding was awarded to California, Colorado, Connecticut, Massachusetts, Michigan, Minnesota, New York, North Carolina, Oklahoma, Oregon, South Carolina, Tennessee, Vermont, Washington and Wisconsin.