Virginia Tests Medicaid-Medicare Program | WAMU 88.5 - American University Radio

WAMU 88.5 : News

Filed Under:

Virginia Tests Medicaid-Medicare Program

Play associated audio

Virginia's costly Medicaid program is being combined for some of its most service-intensive clients. The Department of Medical Assistance Services says it is testing whether combining and simplifying the process for those who receive both Medicaid and Medicare can help lower the costs.

Some estimates indicate that one-third of Medicaid patients who need the most care comprise more than two-thirds of the cost of the program.

Their services are provided with a mixture of Medicaid and Medicare funds. As Karen Kimsey with DMAS explains, Medicare doesn't cover many services, so where it falls short, Medicaid steps in. But it's confusing and redundant for the dual enrollee who must navigate through all of the benefit packages and providers.

However, because Virginia is a managed-care state, it has an opportunity to create one entity to coordinate all services.

"It's a Commonwealth Common Care program to try and help people understand that this program is for us to work with them, and coordinate these two program benefits," says Kimsey. "It's a three-year demonstration that begins in January."

Virginia is one of six states enrolled in the demonstration. It targets specific regions and as a result, only 78,000 of the 100,000 dual enrollees can benefit from it.

NPR

Buzz Bissinger: With Caitlyn Jenner, 'You Feel A Connection'

NPR's Melissa Block interviews Buzz Bissinger about his profile of Caitlyn Jenner in Vanity Fair and her gender transition. She is formerly known as Bruce, an Olympic gold medalist in the decathlon.
NPR

Grass Gourmands: A Herbivore Food Mystery On The African Savanna

A new study sheds light on a longstanding ecological question: How do so many species like impalas and elephants co-exist when they're all feeding on the same limited foods?
NPR

Pro-Warren Group Disbands, As Senator Splits Again With Obama

A group pushing Elizabeth Warren to run for president moves on and "declares victory" in advancing her positions. But Warren is already on to new fights.
NPR

Coming Soon: More Ads On Instagram, And a "Buy" Feature On Pinterest

Pinterest will launch an in-app "buy" button, and Instagram will soon target ads using demographic data from Facebook.

Leave a Comment

Help keep the conversation civil. Please refer to our Terms of Use and Code of Conduct before posting your comments.