From Health Affairs Today <[email protected]>
Subject Special Needs Plans For Dual Eligibles
Date September 20, 2022 8:01 PM
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Plus a new podcast episode on dual eligibles
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Tuesday, September 20, 2022 | The Latest Research, Commentary, And News
From Health Affairs

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Dual Eligible Plans

Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) are
designed to provide services to people who are eligible for both
Medicare and Medicaid.

They are a large part of the Medicare coverage landscape and growing. By
2022, 4.1 million dual eligibles, or roughly 30 percent of all dual
eligibles, were enrolled in D-SNPs.

In their September 2022 article, Eric Roberts and Jennifer Mellor
compare experiences among dual eligibles enrolled in D-SNPs
,
other MA plans, and traditional Medicare.

They find that "dual eligibles in D-SNPs generally had greater access to
care, use of preventive services, and satisfaction with care than dual
eligibles in traditional Medicare."

However, enrollment in D-SNPs "was associated with fewer and smaller
improvements in care among dual eligibles of color than among their
non-Hispanic White counterparts."

Eric Roberts discusses the research in greater detail on a new episode
of A Health Podyssey
.

For more content on the dually eligible population, check out the
Medicare and Medicaid Integration series
published on Health Affairs
Forefront.

Articles in the series feature policy analysis, proposals, and
commentary that inform policies to advance integrated care for those
dually eligible for Medicare and Medicaid.

Read More

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Elsewhere At Health Affairs

Today in Health Affairs Forefront, Cara Hunt and coauthors discuss how
the decentralized trial model

is particularly salient for pediatric gene therapy research, in which
child patients and their caregivers face extraordinary logistical,
social, and financial barriers to research participation.

Elevating Voices: Hispanic Heritage Month: In a November 2021 Forefront
article, Andrea Thoumi and coauthors argue that key policy steps to
address structural health equity gaps

include removing systemic barriers to access, creating incentives to
sustain community partnerships, and creating incentives to enable
community-based care delivery models.

Are you enjoying articles from Forefront? Join Health Affairs Insider

to show your support for high value health policy news, commentary, and
analysis.

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Eric Roberts On Dual Eligibles Coverage

Alan Weil interviews Eric Roberts from the University of Pittsburgh
School of Public Health about recent research in which he and Jennifer
Mellor compared the experiences of dual eligibles enrolled in D-SNPs
with those enrolled in Medicare Advantage and traditional Medicare.

Listen Here

Daily Digest

Differences In Care Between Special Needs Plans And Other Medicare
Coverage For Dual Eligibles

Eric T. Roberts and Jennifer M. Mellor

Eric Roberts On Dual Eligibles Coverage

Eric Roberts and Alan Weil

Pediatric Gene Therapy Development Can Benefit From Trial
Decentralization

Cara Hunt et al.

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