"The $350 billion Medicare-Medicaid dual eligible market is an extraordinary new business opportunity for health insurers," says Kip Piper senior consultant with Sellers Dorsey.
Philadelphia, PA (PRWEB) February 29, 2012
About 25 states are now looking at integrating Medicare and Medicaid health care for the 9.2 million dual eligibles – the high-cost patients enrolled in both programs. “The $350 billion Medicare-Medicaid dual eligible market is an extraordinary new business opportunity for health insurers,” says Kip Piper, senior consultant with Sellers Dorsey.
Mr. Piper will explain the dual eligibles market at the Citi Global Health Care Conference in New York City on Wednesday, February 29, 2012 at 9:00 am. In the session, moderated by Citigroup’s Carl McDonald, Piper will outline current federal and state activities, the business opportunities for health plans, and answer questions from investment analysts and other attendees.
Mr. Piper, a former state Medicaid director, health insurance executive, and federal health care official, advises health plans, state Medicaid agencies, health systems, and Fortune 500 healthcare businesses on Medicaid, Medicare, and health reform. A frequent speaker at health care conferences, Kip has been quoted in BusinessWeek, USA Today, Modern Healthcare and Investor's Business Daily, and other key media outlets.
Dual Medicare-Medicaid enrollees are low-income frail seniors and persons with severe disabilities. Most have several severe chronic medical conditions. “While they are a small proportion of the 48 million Americans in Medicare and the 68 million in Medicaid, they represent about 25% of federal Medicare spending and about 40% of state Medicaid costs. As a group, they are the nation’s most vulnerable and costliest patients with their health care caught between two complex and publicly financed programs,” said Piper.
State and federal initiatives are now underway to integrate the financing and delivery of health care for dual Medicare-Medicaid enrollees. Federal and state officials seek to improve quality of care and access, while reducing taxpayer costs through care management, coordination, and efficiencies. In most models, dual eligibles will have a choice of health plans to receive all their Medicare and Medicaid benefits. “This represents a genuine win-win opportunity for beneficiaries, taxpayers, and health plans,” said Piper.
To arrange an interview with Mr. Piper, please contact Christopher Labonte at 215.514.4377.
Sellers Dorsey is a national healthcare consulting firm that navigates the ever-changing landscape within the public and private sectors. Through deep industry expertise and a political lens, the firm provides clarity at the intersection of business and policy. Together with its clients, Sellers Dorsey realizes opportunities that enhance the bottom-line and ultimately improve the lives of people. On the web at sellersdorsey.com.