New state Medicare-Medicaid partner program announced

The Department of Health and Human Services announced today a partnership with the state of Colorado and the Centers for Medicare & Medicaid Services (CMS) to launch a new model for Medicare-Medicaid enrollees. The model is expected to affect as many as 48,000 Colorado “dual eligibles,” low-income seniors and people with disabilities enrolled in both programs.

Through the initiative, qualified individuals will be added to the state’s Accountable Care Collaborative, which currently serves Medicaid beneficiaries to provide improved care at lower costs.

Colorado will be the second state to introduce a managed fee-for-service demonstration.  Through this model, a state and CMS enter into an agreement by which the state would be eligible to benefit from savings resulting from initiatives designed to improve quality and reduce costs for both Medicare and Medicaid.

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“We are pleased to add Colorado to the growing list of states taking the initiative to improve care for Medicare-Medicaid enrollees,” Marilyn Tavenner, CMS administrator said in a statement. “We look forward to our new partnership, which is focused first and foremost on improving the beneficiary experience.”