Improved Healthcare Coordination for Medicare and Medicaid Beneficiaries
This Act mandates states to establish integrated healthcare programs for individuals eligible for both Medicare and Medicaid (dual eligible). Citizens will receive a personal care coordinator to manage all medical and social services, significantly simplifying access to treatment. New protections are introduced, including a 90-day guarantee of continuous active treatment when switching plans and the establishment of a State Ombudsman for Integrated Care Plans.
Key points
Integrated Care: States must offer programs combining Medicare and Medicaid benefits, providing a single, comprehensive care plan and a coordinator for each patient.
Patient Protection: A 90-day guarantee of continuous active treatment when changing plans is introduced, along with the creation of a State Ombudsman for Integrated Care Plans.
PACE Program: States are required to offer the PACE program (comprehensive care for the elderly), and the age criterion for Medicare-eligible individuals is expanded.
Expired
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