States Delaying duo-eligible plan
States delaying, dropping controversial dual-eligible pilot program
By Rich Daly
Among the 26 states that applied to participate in the CMS Financial Alignment Initiative, which stems from the Patient Protection and Affordable Care Act, six have dropped out or opted for different “customized” plans and nine have delayed their start dates.
The large-scale pilot projects, which seek ways to rein in costs for the disproportionately expensive patient population, have drawn consistent criticism from beneficiary and provider advocates over their size and scope, as well as for aggressive implementation timeframes that had most starting by January 2014. Dual eligibles are among the highest-cost users of healthcare services in Medicare and state Medicaid programs.