Department of Health Policy, Harvard Medical School, Boston, MA, USA.
J Aging Soc Policy. 2012;24(2):221-32. doi: 10.1080/08959420.2012.659113.
The coordination of Medicare and Medicaid benefits and services for dually eligible enrollees has been a longstanding policy challenge. Several provisions of the Affordable Care Act (ACA) attempt to address this lack of coordination, including the establishment of the Federal Coordinated Health Care Office. This paper reviews the major changes under the ACA directed at care coordination for the dually eligible population and then concludes with a discussion of the continuing legislative and legal challenges in integrating care for the dually eligible.
双重参保者的医疗保险和医疗补助福利及服务协调一直是一个长期存在的政策难题。《平价医疗法案》（ACA）中的几项条款试图解决这种缺乏协调的问题，其中包括设立联邦协调医疗保健办公室。本文回顾了 ACA 中针对双重参保者护理协调所做的重大调整，然后讨论了在整合双重参保者护理方面持续存在的立法和法律挑战。
