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