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Accounting for Risk Among Dual Eligible Beneficiaries

May 17, 2022Dave Esarey, Joe PatrickCareJourneyRisk Management & StratificationCareJourney

As the United States continues to move toward value-based care, a great deal of attention has been given to vulnerable patient populations. Patients with higher needs (and correspondingly higher costs) are among those who would benefit most from healthcare improvement efforts, but those costs can represent significant risk to networks that stake their revenue on cost savings. One such group is the cohort of dual eligible beneficiaries (Duals), those with both Medicare and Medicaid coverage. From the special challenges they present to the elevated need for targeted interventions, Duals hold a unique place in the evolving healthcare landscape.

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: Risk, risk management

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