Managed Care for Dually Eligible Beneficiaries: Key Program Design Choices for States
This is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (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. The second paper, Federal Barriers to Managed Care for Dually Eligible Persons (August, 1995), describes federal policy barriers that make the integration of Medicaid and Medicare difficult. This paper outlines a series of design choices facing states as they fashion managed care programs for dually eligible beneficiaries.
| 1996.Jun_.managed.care_.medicaid.elderly.Florida.overview.case_.studies.pdf | 4.2 MB |

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. 























































































































































