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Illinois, Federal, Dual Eligible Reform Too Fast?

Health & Medicine Policy Research Group (HMPRG)
August 8, 2012

As Illinois, and many states across the country, looks to reform its Dual Eligible (Medicare/Medicaid) health insurance programs, there is much concern that the reform process happening too quickly.

Health & Medicine voiced this concern in an official letter to the Illinois Department of Healthcare and Family Services (Illinois' Medicaid Agency) in March 2012 ( Download Hmprg_comments_hfs_dual_eligible_initiative_2012_final2 )

Illinois has been moving forward on an aggressive timeline to implement a Dual Alignment Initiative project. The Dual Alignment Initiative is currently in the processing of reviewing applications from managed care organizations and will be announcing contracts in August 2012. Successful contracts will be awarded and held between the managed care organization, HFS and the federal Centers for Medicare and Medicaid Services (CMS). The tentative start date for enrollment through the Dual Alignment Initiative in Illinois is April 2013.

Despite the Dual Eligible population tending to be more costly as a result of having more complex conditions, there is concern that the goal of achieving cost-savings is eclipsing the need for real health reform.

Senator Jay Rockefeller voiced his concern , as did the Medicare Payment Advisory Committee, and others across the country.

Stay tuned as Illinois moves forward with its Dual Alignment Initiative. For more information, email Kristen Pavle, Associate Director, Center for Long-Term Care Reform @ Health & Medicine.