AMA Calls for Special Attention to Care for Dual-Eligible Patients July 09, 2013

Individuals dually eligible for Medicare and Medicaid include many with psychiatric illness, and they account for a significant share of Medicare-Medicaid spending.


Health insurance benefits for patients who are dually eligible for both Medicare and Medicaid should be customized to the unique individual needs of a patient population that includes many individuals with psychiatric illness.

Moreover, the choice of “opting out” of managed care plans should be preserved for this population, and states should ensure that processes for opting out are made available to patients not less than 120 days prior to the implementation of a managed care program. Read more