tci Medicare Compliance & Reimbursement - 2005 Issue 12

Drug Coverage: Dual Eligibles Facing Potential Coverage Lapses

McClellan: Coverage continuity for duals a priority during switch. Without a transition period of at least six months, the poorest and most vulnerable seniors and disabled people may suffer when their pharmaceutical coverage shifts from Medicaid to Medicare on Jan. 1, 2006.That message was voiced repeatedly, from both sides of the dais, at a March 3 hearing on the needs of Americans eligible for both programs. The so-called dual eligibles often have several chronic illnesses requiring multiple medications, and advocates fear that they will suffer potentially disastrous discontinuities in care if they are switched too quickly into privately...

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