Medicare and Medicaid : Implementing State Demonstrations for Dual Eligibles Has Proven Challenging

States have been seeking federal waivers since the early 1990s to use managed care approaches to integrate the delivery of acute & long-term-care services for certain dual eligiblesÓ -- low-income Medicare beneficiaries who also quality for full Medicaid benefits. Dual eligibles often receive their Medicare & Medicaid benefits from two different sets of providers. This report determines: (1) the status & key features of state initiatives to integrate care for dual-eligible beneficiaries; & (2) factors that have contributed to the length of the waiver negotiation process & implementation time frames.Allen, Kathryn G. is the author of 'Medicare and Medicaid : Implementing State Demonstrations for Dual Eligibles Has Proven Challenging', published 2001 under ISBN 9780756709006 and ISBN 0756709008.