Dually Eligible People with Medicare and Medicaid — At the Center of the Next Debate:
Because of their medical frailty, their social and racial demographics, their great expense, and their expanding growth rate, dually eligible people — “the elderly and disabled poor” — will occupy a central position in the upcoming debates over national healthcare financing and disparities in health care in the 21st century.
Sheldon M Hersh, MD
Louisiana Geriatrics Society Annual Meeting
New Orleans, Louisiana, 2003
Excerpts from the Paper
Repair, reduce, restore …
“Reinstating full Medicare-Medicaid crossover payments will repair healthcare access, reduce healthcare disparities, and restore civil rights for 6 million elderly and disabled Medicare beneficiaries.”
CMS pledged to integrate civil rights …
“CMS pledged to abolish discrimination, remediate past discrimination, and integrate civil rights compliance into CMS programs.”
Physicians treat higher-paying patients first.
“According to Secretary Thompson, physicians divide their patient population based on insurance reimbursement and treat higher-paying patients first.”