Medicare-Medicaid enrollees represent a group of patients with complex health needs and socioeconomic vulnerabilities. Dually eligible (DE) patients qualify for Medicare through age (65 years or older) or disability and meet state-specific income and resource criteria as qualifications for Medicaid. Patients often have multiple chronic conditions or reside in long-term care, and a diagnosis such as cancer adds complexity in care coordination to already challenging circumstances. Unfortunately, after cancer surgery, DE patients often have worse outcomes, including increased complication rates and readmission.1,2