MedPAC and MACPAC Release Data Book for Dual-Eligibles

On Tuesday, January 24th, the Medicaid and CHIP Payment and Access Commission (MACPAC) and the Medicare Payment Advisory Commission (MedPAC), released their joint data book, Beneficiaries Dually Eligible for Medicare and Medicaid.

This data book is part of an ongoing effort by MedPAC and MACPAC to create a common understanding of dually eligible beneficiaries, a relatively small group that accounts for a disproportionate share of both Medicare and Medicaid spending. The data book presents information on the demographic and other personal characteristics, expenditures, and healthcare utilization of individuals who are dually eligible for Medicare and Medicaid coverage. Dual-eligible beneficiaries receive both Medicare and Medicaid benefits by virtue of their age or disability and low incomes.

The data book is organized into the following sections:

• Overview of dual-eligible beneficiaries

• Characteristics of dual-eligible beneficiaries

• Eligibility pathways, including managed care enrollment, and continuity of enrollment

• Dual eligible beneficiaries’ utilization and spending on Medicare and Medicaid services

• Medicare and Medicaid spending for beneficiaries by LTSS use

• Trends in dual-eligible population and composition, spending and service use

This is the fourth edition of this book, updated with 2012 data and 2008–2012 trends in the dually eligible population’s composition, service use, and spending.

The data book is available on both commissions’ websites: and