Reference no: EM133463035

The lack of integration between Medicare and Medicaid has been addressed by a number of prospective solutions, including:

Administrative simplification: By establishing a single enrollment procedure and a single set of guidelines for both programs, it may be possible to streamline the administrative process for beneficiaries who are eligible for both programs. In addition to improving care coordination, this would ease the administrative burden on beneficiaries, providers, and states. Benefits alignment: To produce a more comprehensive and well-coordinated set of benefits, Medicare and Medicaid could align their respective benefit packages. This would increase dual-eligible beneficiaries' access to care and clear up any misunderstandings over which programs are responsible for specific services.

Payment reform: The lack of integration between Medicare and Medicaid may also be addressed by payment reform. Providers should be motivated to offer better coordinated and economical care to dual eligible beneficiaries by matching payment structures and incentives.