Federal Policy
MHPA Urges Changes to Draft Dual Eligible Care Integration Legislation
Medicaid Health Plans of America submitted recommendations on draft federal legislation aimed at improving care coordination and outcomes for dually eligible beneficiaries. The trade association expressed support for the bill's integration goals while raising concerns about specific provisions and requesting clarification on implementation details. The legislation seeks to better align Medicare and Medicaid services for the approximately 12 million Americans enrolled in both programs. MHPA's feedback reflects managed care industry priorities around dual eligible special needs plans (D-SNPs) and integrated care models.
Why it mattersDraft legislation affecting dual eligible integration could reshape D-SNP requirements, care coordination mandates, and financial arrangements between Medicare Advantage plans and Medicaid managed care organizations.