Medicare and Medicaid: Conflicting Incentives for Long-Term Care (2007)

This article examines the conflicts within the structure of Medicare and Medicaid that result in a lack of care coordination for dually eligible beneficiaries. The article explains that various factors, including Medicare's cost-sharing rules, cost shifting within home health care and nursing homes and across chronic and acute care settings, contribute to a system in which neither program "has an incentive to take responsibility for the management or quality of care." The article provides several policy proposals, along with their strengths and weaknesses, which address those factors.

Citation Grabowski, D. (2007, December). Medicare and Medicaid: Conflicting incentives for long-term care. Milbank Quarterly, 85(4).

Author David Grabowski

Date December 2007

To View The Report http://www.milbank.org/quarterly/8504feat.html

Topic: Care Management/ Coordination/ Transitional Care