A new report by the AHIP has revealed that Medicare and Medicaid dual - eligible care models require extensive care coordination for patients with multiple chronic conditions . Sixty-five percent of dual-eligible beneficiaries are 65 or older and 72 percent have at least three chronic conditions. Currently , 12 million Americans use services from both Medicare and VA but can often struggle when attempting to access care , with their experiences becoming uncoordinated and fragmented . States can turn to three types of dual - eligible care models so as to meet the needs of members that rely on Medicare and Medicaid equally . The first of these is Dual - Eligible Special Needs Plans ( D - SNPs ) , which are Medicare Advantage plans that usually cover both Medicaid and Medicare benefits . States must determine how far the D - SNPs are allowed to go in covering the benefits , however . In the next decade though D - SNPs will be required to support greater integration between Medicare and Medicaid . In 2018 , over 1 million dual - eligible members enrolled in a D - SNP of any type . The second form of care model is Medicare - Medicaid Plans ( MMPs ) , which are provided through a CMS demonstration . These plans provide the most integrated model , with care individualized for each enrollee . MMPs are established through three - way contracts between the health plan , CMS , and a state Medicaid agency . This the newest model , with the first version launched in Massachusetts in 2014 and expanded into nine other states since . Currently , it is estimated that 383,000 dual - eligible Medicare and Medicaid beneficiaries are enrolled . The third model is Programs of All - Inclusive Care for the Elderly ( PACE ) . PACE plans are used to support beneficiaries live in the community instead of nursing homes and related facilities . Almost all PACE enrollees are dual - eligible for Medicare and Medicaid , with just over 41,000 dual - eligible beneficiaries enrolled in 2018 . 65 percent of dual - eligible beneficiaries are 65 or older and 72 percent have at least three chronic conditions . 20 percent of Medicare enrollment and 15 percent of Medicaid enrollment is accounted for by dual - eligible beneficiaries , but they are responsible for 35 percent of spending . This equates to approximately $ 235 billion in Medicare spending and $ 193 billion in Medicaid spending .
A new report by the AHIP has revealed that Medicare and Medicaid dual - eligible care models require extensive care coordination for patients with multiple chronic conditions . Currently , 12 million Americans use services from both Medicare and VA but can often struggle when attempting to access care , with their experiences becoming uncoordinated and fragmented . States can turn to three types of dual - eligible care models so as to meet the needs of members that rely on Medicare and Medicaid equally . The first of these is Dual - Eligible Special Needs Plans ( D - SNPs ) , which are Medicare Advantage plans that usually cover both Medicaid and Medicare benefits . States must determine how far the D - SNPs are allowed to go in covering the benefits , however . In the next decade though D - SNPs will be required to support greater integration between Medicare and Medicaid . In 2018 , over 1 million dual - eligible members enrolled in a D - SNP of any type . The second form of care model is Medicare - Medicaid Plans ( MMPs ) , which are provided through a CMS demonstration . These plans provide the most integrated model , with care individualized for each enrollee . MMPs are established through three - way contracts between the health plan , CMS , and a state Medicaid agency . This the newest model , with the first version launched in Massachusetts in 2014 and expanded into nine other states since . Currently , it is estimated that 383,000 dual - eligible Medicare and Medicaid beneficiaries are enrolled . The third model is Programs of All - Inclusive Care for the Elderly ( PACE ) . PACE plans are used to support beneficiaries live in the community instead of nursing homes and related facilities . Almost all PACE enrollees are dual - eligible for Medicare and Medicaid , with just over 41,000 dual - eligible beneficiaries enrolled in 2018 . 65 percent of dual - eligible beneficiaries are 65 or older and 72 percent have at least three chronic conditions . 20 percent of Medicare enrollment and 15 percent of Medicaid enrollment is accounted for by dual - eligible beneficiaries , but they are responsible for 35 percent of spending . This equates to approximately $ 235 billion in Medicare spending and $ 193 billion in Medicaid spending .