Commonwealth Fund March 31, 2022
Toplines
Experts agreed that special needs plans have the potential to improve care for some of the highest-need beneficiaries.
Policy changes are needed to shed light on how well special needs plans are functioning and to promote high-value, well-coordinated care.
In 2004, Congress authorized special needs plans (SNPs) as a new type of Medicare Advantage plan that enables insurers to offer customized approaches for high-need beneficiaries. There are three types:
- I-SNPs for people who need institutional-level care;
- C-SNPs for people with severe or disabling chronic conditions; and
- D-SNPs for people who are dually eligible for Medicare (because of age and/or disability) and Medicaid (because of low income).
While there is overlap among these groups — for example, many...
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