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Dual-eligible beneficiaries ( Medicare dual eligibles or "duals") refers to those qualifying for both Medicare and Medicaid benefits. In the United States, approximately 9.2 million people are eligible for "dual" status. [ 1][ 2] Dual-eligibles make up 14% of Medicaid enrollment, yet they are responsible for approximately 36% of Medicaid ...
Molina was selected to participate in dual eligible demonstration projects in California, [47] Ohio, [48] Illinois, [49] Michigan, [50] South Carolina [51] and Texas [51] to serve patients who are eligible for both Medicare and Medicaid.
American Hospital Association v. Becerra, No. 20-1114, 596 U.S. ___ (2022) The Medicare Prescription Drug, Improvement, and Modernization Act, [1] also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. [2] It produced the largest overhaul of Medicare in the public health program's 38-year history.
Massachusetts will be one of the first states in the nation to launch a dual-eligible demonstration program being offered by the Centers for Medicare & Medicaid's Federal Coordinated Health Care ...
August 12, 2020 at 1:00 PM. A Dual Eligible Special Needs plan provides special coverage for a person who is eligible for both Medicare and Medicaid. The plan is one of several Special Needs plans ...
Tricare (styled TRICARE) is a health care program of the United States Department of Defense Military Health System. [1] Tricare provides civilian health benefits for U.S Armed Forces military personnel, military retirees, and their dependents, including some members of the Reserve Component. Tricare is the civilian care component of the ...
The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted on December 29, 1973. The Health Maintenance Organization Act, informally known as the federal HMO Act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (HMOs).
An FQHC is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health / substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status. Thus, they are a critical component of the health care safety net. [1]