MEDICARE-MEDICAID DUAL ELIGIBLE SPECIAL NEEDS PLANS (D-SNPS): ENROLLMENT TRENDS (2007–2023)
2024

Enrollment Trends in Dual-Eligible Special Needs Plans

Sample size: 5690000 publication Evidence: high

Author Information

Author(s): Dahal Roshani

Primary Institution: University of Minnesota School of Public Health

Hypothesis

How has enrollment in Dual-Eligible Special Needs Plans (D-SNPs) changed from 2007 to 2023?

Conclusion

Enrollment in D-SNPs has consistently increased, reaching 5.69 million duals by December 2023.

Supporting Evidence

  • D-SNPs began with 0.67 million duals, representing 73.9% of SNP enrollment.
  • Enrollment in D-SNPs has increased from 11% to 16% annually since 2018.
  • As of December 2023, 89.5% of SNP enrollment was in D-SNPs.

Takeaway

More people are joining special health plans that help those who have both Medicare and Medicaid, but many of these plans are not fully integrated.

Methodology

Analyzed publicly available SNP monthly data from 2007 to 2023.

Limitations

The percentage of fully integrated plans has declined despite overall enrollment growth.

Participant Demographics

Focus on Medicare-Medicaid dual enrollees.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2462

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