For over two decades, states have turned to Medicaid health plans to provide coordinated care to Medicaid beneficiaries while experiencing improved quality outcomes and predictable costs. Many of the nation's almost 10 million beneficiaries eligible for both Medicaid and Medicare (“dual eligibles”) suffer from receiving fragmented care and present cost, quality and access challenges to policymakers. Medicaid health plans are equipped to provide coordinated care to dual eligibles necessary to achieve cost savings and improve health outcomes.
MHPA Response to CMS Request for Information (RFI) on Star Rating Quality Measurements and Duals. MHPA sent a letter to Sean Cavanaugh, deputy administrator at CMS, on research and analyses that demonstrates the influence of socioeconomic and demographic factors upon quality measure score development within the Star Ratings system. The letter encourages CMS to work collaboratively with stakeholder groups, including health plans, to make improvements to the Star Ratings system in order to better account for these factors. (November 3, 2014)
More information on Dual Eligibles from Medicaid.gov