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Report reviews state proposals for dual-eligible demonstration

October 12, 2012

A new report from the Kaiser Commission on Medicaid and the Uninsured examines 26 state proposals to partner with the Centers for Medicare & Medicaid Services in the Financial Alignment Demonstration to test a new capitated payment and integrated care model for patients enrolled in both Medicare and Medicaid. According to the report, 23 states plan to passively enroll dual-eligible beneficiaries into their demonstration plans unless beneficiaries take action to opt out; 21 states propose implementing all or a portion of their demonstrations statewide; and 18 states seek to test the demonstration's capitated payment model, five the managed fee-for-service model and three both models. Two states seek to implement at least part of their demonstrations in late 2012, 13 states seek to implement in 2013, and 11 in 2014. In August, CMS announced an agreement with Massachusetts to implement the first state demonstration.