From Health Affairs Today <[email protected]>
Subject Growth Of D-SNP Look-Alike Plans
Date July 17, 2023 8:01 PM
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Monday, July 17, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

In today's article, Yanlei Ma and colleagues examine rising enrollment
trends for dually eligible Medicare and Medicaid beneficiaries.

Threats to Integrated Care

Approximately 12.5 million Americans are dually eligible for Medicare
and Medicaid. In recent years, efforts at integrating dual eligible
coverage have been made, including the development of models like
Dual-Eligible Special Needs Plans (D-SNPs).

As of 2022, D-SNPs are the largest managed care model for dual eligibles
with an enrollment of more than 4 million. However, D-SNP "look-alike"
plans, "non-integrated MA plans that resemble D-SNPs and are marketed to
and primarily enroll dual eligible beneficiaries," are expanding.

Yanlei Ma and coauthors take a deeper look at enrollment trends in these
"look-alike" plans in their article in the July issue of Health Affairs.
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They find that during the period 2013-20, enrollment in look-alike
plans increased elevenfold.

Ultimately, the growth of these plans could threaten efforts to improve
access to coordinated care for dual-eligibles, a particularly vulnerable
population.

Read the Article
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