Dual Eligible Beneficiary Population Interim Report 2012 

The so-called “dual eligible” population is notable for its heterogeneity, vulnerability, and the difficulties experienced when navigating the healthcare and supportive services systems in the community. Within the dual eligible population, particular subpopulations have especially complex and intense needs for care and supports. The costs associated with meeting these needs are often extreme and borne primarily by strained public programs. MAP has begun to consider the quality measurement challenges posed by high-need groups of dual eligible beneficiaries. This interim report reviews activities designed to identify quality problems encountered by high-need beneficiaries, measures to address them, and limitations to doing so such as gaps in available measures.