Reduce Unnecessary Hospitalizations of the Most Complex Patient Population

An estimated nine million people presently qualify for both Medicare and Medicaid, known as “dual eligibles.” These individuals, considered the sickest and most complex patients in the health care delivery system, are often admitted for potentially avoidable reasons and consume a disproportionate share of hospital resources.

Due to fragmentation in the care delivery system that results from a high rate of co-morbidity and poor coordination between providers, dual eligibles utilize acute-care resources more often than similarly-aged beneficiaries with only Medicare.

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