Federal Barriers to Managed Care for Dually Eligible Persons
This is the second in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry I. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managing Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pifialls (September, 1994), describes the fragmentation of care experienced by dually eligible elderly persons, and explores the potential benefits and disadvantages of integrating the two funding streams for dually eligible persons. This paper describes federal policy barriers to integrating Medicaid and Medicare in managed care programs. A future paper will examine the difficulties states face in developing integrated programs for dually eligible persons, given the lack of experience and infrastructure that currently exists in both the public and private sectors.
| 1995.Aug_.federal.barriers.managed.care_.dually.eligible.persons.pdf | 704.7 KB |

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































