More states are creating health care options designed to provide effective, cost-efficient care for beneficiaries who quality for both Medicare and Medicaid. Dual eligible beneficiaries generally account for a disproportionately large share of Medicare and Medicaid program costs. The lack of coordination between the two programs, such as conflicting financial incentives and regulations, may have cost the states and the federal government billions of dollars. The Medicare-Medicaid Coordination Office, which was established under the Affordable Care Act, selected 15 states to receive up to $1 million to support proposed health plans designed for dual eligible individuals. The outcomes of these 15 proposals, along with other state initiatives, could provide interesting insight on how to best provide care for dual eligible beneficiaries.