When will dual-eligible plans produce cost savings?

January 14, 2015 § Leave a comment

In Medicare Advantage News, Commonwealth Care Alliance (CCA) President Lois Simon addresses the issue of producing cost savings through the implementation of dual-eligible plans. Lois states that dual-eligible plans have the potential to reduce costs over time, but addressing the unmet needs of members must come first. For example, Lois states that many dual-eligible individuals are receiving costly inpatient care for their behavioral health and substance abuse issues. To confront this issue, she reports that CCA is creating its own, more cost-effective, “crisis stabilization” facilities. Overall, Lois counsels patience, and she sees promise in the higher-than-anticipated voluntary enrollment in CCA’s under-65 plan (One Care) and the strong collaboration between CMS, the state of Massachusetts, and CCA.

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