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Ensuring Consumer Protection For Dual Eligibles in Integrated Models

July 10, 2011

This paper is the first in a series of four papers designed to highlight pressing issues facing dual eligibles and provide recommendations to the Medicare-Medicaid Coordination Office, state Medicaid agencies and other interested policymakers and stakeholders on how to address them. The first paper provides recommendations for consumer protections in delivery system models that integrate Medicare and Medicaid. Future papers with focus on differences between Medicare and Medicaid program rules and coverage standards, ideas for integrating the appeals systems of the two programs, and opportunities for improving the delivery of the Qualified Medicare Beneficiary (QMB) benefit.

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