South Carolina Financial Alignment Initiative demonstration

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January 2018

Medicaid and Medicare together provide health coverage for approximately 10.8 million low-income seniors and people with disabilities who are dually eligible for both programs. The Centers for Medicare & Medicaid Services’ Federal Coordinated Health Care Office has implemented the Financial Alignment Initiative, a three-year demonstration project, to improve care and reduce program costs for these beneficiaries, as well as improve coordination between the Medicaid and Medicare programs.

As of December 2017, 13 states participate in the Financial Alignment Initiative either under a capitated model, a managed fee-for-service model, or an alternative model. This fact sheet provides a brief summary of South Carolina’s capitated demonstration model. It provides updated information on information on enrollment, opt-out rates, and changes to consumer protection and care coordination requirements.

Publication Type: Fact Sheets

From: Financial Alignment Initiative for Beneficiaries Dually Eligible for Medicaid and Medicare

Tags: access, Affordable Care Act, benefits, capitation, dually eligible beneficiaries, duals demonstrations, eligibility, enrollment, fee for service, Medicaid, Medicare, people with disabilities, rate setting