Healthify Blog

Using Dual Eligible Plans to Improve Care for our Most Costly Patients

Dennis Heaphy, a Boston resident and 30-year quadriplegic, received new health care coverage in 2014. As part of initiatives ushered in with the Accountable Care Act, Heaphy, a low-income disabled individual, was able to stay home and in his community. This was a drastic change from the expensive and disruptive alternative he was all too familiar with—frequent visits to the hospital and long-term stays at skilled nursing facilities.

Now, improvements are being tested in a pilot program—“dual eligible” plans—aimed at providing better coordinated care for patients like Heaphy, who is among a group of the most costly and complex patients.  

Topics: Medicaid coordinated care ACA Medicare dual eligibles elderly