Industry Note:
Your Dual-Eligible Patients Have Varying Consumer Protections
Published on Fri Dec 14, 2012
Your dual-eligible patients have varying consumer protections depending on the particular programs, payment systems and states, according to a Dec. 5 GAO report. Medicare and Medicaid consumer protection requirements are a mixed bag -- from widely diverging enrollment mandates to different appeals processes. The GAO’s study arose from concerns for dual-eligible beneficiaries’ burden in navigating the rules of both Medicare and Medicaid. Typically, dual-eligible beneficiaries are low-income seniors and individuals with disabilities. To view the entire report, go to
www.gao.gov/products/GAO-13-100.