Demographic Overview of Dual Eligibles

Five Slide Series, Volume 4 September 2013

• 8.8 million persons had both Medicaid and Medicare coverage during 2010. These dual eligibles represent 16% of all Medicaid beneficiaries and 18% of Medicare beneficiaries

• Most dual eligibles (75%) qualified for full Medicaid benefits during 2010. This group is commonly referred to as “full duals”

• The remaining dual eligibles (“partial duals”) received coverage only for selected Medicaid services, such as cost sharing for Medicare covered services and payment of Medicare Part B premiums.

• Overall, the nation’s dual eligible population increased 20% from 2005-2010, spurred by a doubling of the partial dual subgroup. The full dual subgroup increased by 6% during the 2005-2010 timeframe.

• The national age mix of dual eligibles is 59% 65+, 41% <65• The national gender mix of dual eligibles is 62% female, 38% male

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Summary

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State-Specific Dual Eligible Demographics, Alabama - Kentucky

State Full DualsPartial Duals All Duals

Percent Female

Percent Male

Percent Below Age 65

Percent Age 65 and

Above Full DualsPartial Duals All Duals Full Duals

Partial Duals All Duals

Alabama 89,131 96,052 185,184 67% 33% 44% 56% 93,112 82,673 175,785 -4% 16% 5%Alaska 12,787 281 13,068 56% 44% 47% 53% 10,127 116 10,243 26% 143% 28%Arizona 112,419 32,213 144,632 61% 39% 41% 59% 93,557 16,875 110,432 20% 91% 31%Arkansas 63,222 47,739 110,961 63% 37% 46% 54% 60,353 28,586 88,939 5% 67% 25%California 1,134,226 25,370 1,159,596 59% 41% 30% 70% 987,187 13,040 1,000,227 15% 95% 16%Colorado 58,621 18,967 77,588 62% 38% 42% 58% 51,558 11,906 63,464 14% 59% 22%Connecticut 73,751 38,972 112,723 64% 36% 38% 62% 68,492 16,377 84,869 8% 138% 33%Delaware 10,851 12,729 23,579 64% 36% 47% 53% 9,704 8,690 18,394 12% 46% 28%District of Columbia 18,095 4,629 22,724 60% 40% 40% 60% 16,273 1,075 17,348 11% 331% 31%Florida 327,735 263,095 590,830 62% 38% 35% 65% 366,077 99,246 465,323 -10% 165% 27%Georgia 126,816 119,023 245,839 66% 34% 41% 59% 131,164 88,381 219,545 -3% 35% 12%Hawaii 28,001 3,122 31,123 59% 41% 32% 68% 24,869 1,638 26,507 13% 91% 17%Idaho 22,380 8,585 30,965 59% 41% 55% 45% 17,493 3,228 20,721 28% 166% 49%Illinois 277,359 34,790 312,148 61% 39% 45% 55% 217,033 23,684 240,717 28% 47% 30%Indiana 93,387 52,056 145,443 63% 37% 53% 47% 95,722 24,443 120,165 -2% 113% 21%Iowa 63,190 12,806 75,996 60% 40% 52% 48% 52,895 9,328 62,223 19% 37% 22%Kansas 42,827 17,293 60,120 62% 38% 51% 49% 40,905 8,787 49,692 5% 97% 21%Kentucky 99,303 66,764 166,068 60% 40% 49% 51% 93,029 44,671 137,700 7% 49% 21%

Average Covered Persons, 2010 Average Covered Persons, 2005 Percent Change, 2005-2010Demographic Mix of All Dual Eligibles, 2010

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State-Specific Dual Eligible Demographics, Louisiana – North Dakota

State Full DualsPartial Duals All Duals

Percent Female

Percent Male

Percent Below Age 65

Percent Age 65 and

Above Full DualsPartial Duals All Duals Full Duals

Partial Duals All Duals

Louisiana 100,706 74,434 175,140 63% 37% 42% 58% 100,069 55,020 155,089 1% 35% 13%Maine 52,676 42,460 95,136 59% 41% 41% 59% 45,478 9,098 54,576 16% 367% 74%Maryland 71,853 34,239 106,092 63% 37% 44% 56% 63,753 24,139 87,892 13% 42% 21%Massachusetts 227,719 19,317 247,036 61% 39% 48% 52% 191,335 15,820 207,155 19% 22% 19%Michigan 215,230 28,810 244,041 61% 39% 54% 46% 188,922 18,783 207,705 14% 53% 17%Minnesota 113,326 11,804 125,130 61% 39% 48% 52% 96,016 9,157 105,173 18% 29% 19%Mississippi 76,188 66,988 143,176 64% 36% 44% 56% 133,521 6,117 139,638 -43% 995% 3%Missouri 139,748 16,258 156,005 62% 38% 52% 48% 150,654 7,688 158,342 -7% 111% -1%Montana 14,122 6,718 20,840 61% 39% 48% 52% 14,169 1,031 15,200 0% 552% 37%Nebraska 34,325 2,052 36,377 63% 37% 50% 50% 31,971 2,166 34,137 7% -5% 7%Nevada 20,278 17,877 38,154 62% 38% 40% 60% 17,720 12,560 30,280 14% 42% 26%New Hampshire 19,256 8,518 27,774 63% 37% 56% 44% 18,096 3,169 21,265 6% 169% 31%New Jersey 162,338 30,055 192,393 64% 36% 35% 65% 141,194 29,354 170,548 15% 2% 13%New Mexico 36,230 26,314 62,543 59% 41% 40% 60% 32,994 11,595 44,589 10% 127% 40%New York 636,062 91,240 727,301 63% 37% 33% 67% 587,647 34,073 621,720 8% 168% 17%North Carolina 232,068 62,422 294,490 64% 36% 45% 55% 224,431 40,522 264,953 3% 54% 11%North Dakota 10,804 2,924 13,729 61% 39% 44% 56% 10,511 2,057 12,568 3% 42% 9%

Average Covered Persons, 2010 Average Covered Persons, 2005 Percent Change, 2005-2010Demographic Mix of All Dual Eligibles, 2010

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State-Specific Dual Eligible Demographics, Ohio – Wyoming (and USA Total)

State Full DualsPartial Duals All Duals

Percent Female

Percent Male

Percent Below Age 65

Percent Age 65 and

Above Full DualsPartial Duals All Duals Full Duals

Partial Duals All Duals

Ohio 195,796 90,632 286,428 63% 37% 51% 49% 208,464 4,036 212,500 -6% 2146% 35%Oklahoma 87,771 17,972 105,743 63% 37% 47% 53% 77,088 12,421 89,509 14% 45% 18%Oregon 58,684 30,260 88,944 60% 40% 45% 55% 53,554 18,861 72,415 10% 60% 23%Pennsylvania 314,410 58,061 372,471 62% 38% 47% 53% 275,363 38,261 313,624 14% 52% 19%Rhode Island 32,999 5,085 38,084 64% 36% 44% 56% 30,495 3,816 34,311 8% 33% 11%South Carolina 123,315 16,461 139,776 65% 35% 47% 53% 108,794 8,643 117,437 13% 90% 19%South Dakota 12,294 6,552 18,846 62% 38% 42% 58% 11,847 4,839 16,686 4% 35% 13%Tennessee 140,458 96,720 237,177 62% 38% 48% 52% 250,086 23,717 273,803 -44% 308% -13%Texas 366,123 239,139 605,262 63% 37% 35% 65% 330,774 127,862 458,636 11% 87% 32%Utah 25,929 3,282 29,211 60% 40% 56% 44% 21,509 1,383 22,892 21% 137% 28%Vermont 18,833 13,734 32,567 61% 39% 40% 60% 15,904 658 16,562 18% 1987% 97%Virginia 111,092 51,636 162,728 63% 37% 44% 56% 100,257 35,664 135,921 11% 45% 20%Washington 114,760 35,879 150,638 60% 40% 47% 53% 92,707 18,553 111,260 24% 93% 35%West Virginia 45,462 28,415 73,877 58% 42% 51% 49% 43,317 11,737 55,054 5% 142% 34%Wisconsin 125,893 72,636 198,529 65% 35% 37% 63% 109,678 9,189 118,867 15% 690% 67%Wyoming 6,395 3,134 9,529 62% 38% 49% 51% 5,416 2,387 7,803 18% 31% 22%USA 6,597,242 2,166,511 8,763,753 62% 38% 41% 59% 6,213,284 1,087,120 7,300,404 6% 99% 20%

Average Covered Persons, 2010 Average Covered Persons, 2005 Percent Change, 2005-2010Demographic Mix of All Dual Eligibles, 2010

Technical Notes

• Data source used for tabulations is the CMS Medicaid Statistical Information System State Summary Datamarts:

msis.cms.hhs.gov

• 2010 figures represent point-in time averages (annual covered months divided by 12)

• 2005 figures represent enrollment during a selected month in the middle of the fiscal year (March 2005)

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