Becker's Healthcare November 19, 2025
Jakob Emerson

Dual eligible special needs plans, or D-SNP, are the fastest growing segment of Medicare Advantage, as insurers increasingly focus on complex populations amid broader margin pressures within the program.

At Becker’s 4th annual Fall Payer Issues Roundtable, Michael Carson, president and CEO of Wellcare at Centene, spoke about the company’s approach to this market, including its expansion into new markets for 2026, the complexities of serving populations with multiple chronic conditions and social barriers, and why sustainable growth matters more than enrollment numbers alone.

An excerpt from his keynote interview is below. Responses have been lightly edited for clarity and length.

Question: We’re in the midst of the Medicare open enrollment period. What’s different this year, and how is...

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