By NextBestFitTask 2.1.6 of 7
Dual eligibles (Medicare + Medicaid, about 12M): UHP covers all medical and long-term services; state Medicaid's role ends except the MOE payment.
Who does it
UHA / states
When
Day 1
Trade-off
Covering duals fully through UHP ends coordination problems but removes state control over their long-term care.
Part of: Upgrade Medicare enrollees into UHP
All 67 million Medicare enrollees move into UHP on day one. Part B and Part D premiums, deductibles, and coinsurance end. Dental, vision, and hearing are added.
This step changes 8 existing laws, programs, or institutions. See the list.