Health Affairs March 1, 2025
Abstract
Policy makers are actively investing in care programs that integrate Medicare and Medicaid benefits, with the goal of providing better-coordinated care for Medicare-Medicaid dual-eligible beneficiaries. However, nonintegrated plans have become increasingly popular among dual eligibles. One such plan type is the Chronic Condition Special Needs Plan (C-SNP)—a type of Medicare Advantage plan designed for people with specific chronic conditions. Using national Medicare data from the period 2011–24, we found that C-SNPs experienced modest enrollment growth among dual eligibles, with nearly 15 percent of C-SNP enrollees being full-benefit dual eligibles, who are eligible for Medicare and full Medicaid...