Last week, The Medicaid and CHIP Payment and Access Commission (MACPAC) held its public meeting Oct. 28–29 to discuss topics relating to Medicaid recipients and dually eligible Medicaid and Medicare participants. The meeting began with a brief presentation and panel discussion about the data available to monitor access to care for Medicaid beneficiaries across three domains: availability and accessibility, beneficiary use of services, and beneficiary perceptions and experiences.
There are about 3 million dually eligible persons enrolled in Medicare Advantage dual-eligible special needs plans (D-SNPs). Most D-SNPs only meet the basic requirements to coordinate care and provide minimal integration. The presentation on dual eligibility focused on factors influencing state decisions to integrate care. It also included themes from a roundtable of states held to understand the factors influencing states and how the federal government could support their efforts, and a preview of policy options based on those themes.
Commissioner feedback will direct the development of policy options for discussion at an upcoming MACPAC meeting. The selected policy options may be included in the June 2022 MACPAC Report to Congress.
If you have questions or would like more information, please email Christina Berry, ACR Team Lead for Economic Policy.