Individuals eligible in both Medicaid and Medicare, the dually eligible enrollees, account for a disproportionate share of
Medicaid utilization and payments. While comprising 14.7 percent of the Medicaid population, they accounted for 40.5 percent
of Medicaid payments in 2002. Mean reimbursement for the dually eligible enrollees was nearly four times that of non-dually
eligible Medicaid enrollees.