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Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid

Dually eligible beneficiaries receive both Medicare and Medicaid benefits by virtue of age or disability and low income. The design of the programs creates particular challenges for efficient, effective health care delivery. The existence of separate funding streams can create barriers to coordination of care for dually eligible beneficiaries, which in turn can lead to increased costs and poor health outcomes. These issues are of particular concern given the high health needs of dually eligible beneficiaries and the fact that this group accounts for a disproportionate share of both Medicare and Medicaid spending.

This data book was jointly produced by the Medicaid and CHIP Payment and Access Commission (MACPAC) and the Medicare Payment Advisory Commission (MedPAC).

Read previous editions of the data book here: