States Increasingly Coordinating Care for Dual Eligibles with Managed Care, FAIs, and PACE

Dual eligible special needs plans often run up against significant difficulties coordinating care for beneficiaries. A recent analysis by the Kaiser Family Foundation (KFF) examined how states accomplish this complex task, finding that many use managed care, a Financial Alignment Initiative (FAI), or rely upon the Program of All-Inclusive Care for the Elderly (PACE).

According to Kelsey Waddill, “PACE, a program that offers medical and social services benefits to individuals who meet certain criteria, has had positive outcomes, the researchers noted. They added that the Financial Alignment Initiative—and the Medicare-Medicaid plans that often result—has had a mixed impact. CMS is expected to end the Medicare-Medicaid model in the next two years.”

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(Source: Health Payer Intelligence, May 1^st, 2023)