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State seeks to revamp poor, disabled care

Streamlining plan for ‘dual eligibles’

By Chelsea Conaboy

 |  Globe Staff  

  October 27, 2011

The state is planning to dramatically change the way health care is provided for about 109,000 adults who are low-income and disabled, with the goal of improving the quality and cutting the cost of treatment that is often fragmented. The group, which includes people with mental illness, drug and alcohol addictions, and development disabilities, is enrolled in both Medicaid and Medicare. Navigating the state and federally-run programs, which have different rules and pay for different services, can confuse patients and create roadblocks to communication between providers.

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