More than 13.9 million people are enrolled in both Medicare and their state Medicaid program.
Most of themover 12.2 millionare age 50 or older.
The dually eligible population is diverse with many often costly health needs.
Often, enrollees have little or no assistance with these challenges.
PACE, FAI, and D-SNPs each aim to integrate Medicare and Medicaid.
Current federal and state efforts are focused on expanding PACE and encouraging enrollment in D-SNPs.
While independent evaluations are generally positive for PACE program outcomes, results are mixed for D-SNPs and FAI demonstrations.
Additionally, more states are offering PACE, increasing options for dually eligible individuals.
States will need to sustain efforts to evaluate plan performance and make responsive programmatic updates as needed.
Stakeholder engagement is already part of state transition plans as FAI demonstrations end.
More than one-quarter of adults 4064 have some form of medical debt.
