This week, our In Focus section reviews publicly available data on enrollment in financial and administrative alignment demonstrations for dually eligible beneficiaries (duals) in seven states currently serving duals in a capitated financial alignment model. These seven states – California, Illinois, Massachusetts, New York, Ohio, South Carolina, and Virginia – have begun either voluntary or passive enrollment of duals for fully integrated Medicaid and Medicare benefits under a three-way contract with the Centers for Medicare & Medicaid Services (CMS) and health plans, known as Medicare-Medicaid Plans (MMPs). Three additional states – Michigan, Rhode Island and Texas – also have established a demonstration with CMS but have not begun enrollment, as described further, below. As of February 2015, more than 300,000 duals are enrolled in a MMP, based on state-based and CMS reporting.