Kim wins award to study "duals" population

01/22/15  Portland, Ore.

MRF grant will fund analysis of CCO impacts on those enrolled in both Medicaid and Medicare

CHSE health economist Hyunjee Kim has received a $34,250 award to study the impact of Oregon's new Medicaid reforms on the state's residents who receive both Medicaid and Medicare benefits.

"Dual eligibles" are a vulnerable population consisting of individuals who are disabled, legally blind, or age 65 or older, with incomes not exceeding 225 percent of the federal poverty level. 

Although they make up 14 percent of Medicaid recipients, duals account for 36 percent of Medicaid expenditures and are more likely to have multiple chronic physical conditions and/or co-occurring mental and cognitive conditions. Because they receive care through both Medicaid and Medicare programs, they are at especial risk for fragmented and low-quality care.

Oregon's 2012 reform of the Oregon Health Plan placed care for most Medicaid recipients into coordinated care organizations (CCOs) and mandated additional changes to improve care management. Kim's study will be the first to assess impacts of the CCO transformation on both quality and costs for the duals population in Oregon.