Health Affairs March 1, 2025
Rebekah I. Stein, Yanlei Ma, Jessica Phelan, Eric T. Roberts, Kenton J. Johnston, E. John Orav, José F. Figueroa

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...

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