Enrollment in Dual-Eligible Special Needs Plans and Disenrollment Rates

GAINING CLARITY: This study investigated disenrollment rates among dual-eligible Medicare and Medicaid beneficiaries from various Medicare Advantage (MA) plan types in 2021.

The findings indicate that fully integrated dual-eligible special needs plans (FIDE-SNPs) had significantly lower disenrollment rates compared to other MA plans, suggesting improved member retention and potentially better care experiences.


Is enrollment in Medicare Advantage plans with greater degrees of integration associated with lower plan disenrollment rates?

In this cross-sectional study of 2.7 million dually eligible Medicare beneficiaries, dually eligible Medicare and Medicaid beneficiaries enrolled in fully integrated dual-eligible special needs plans had substantially lower disenrollment rates compared with beneficiaries enrolled in other Medicare Advantage plan types.

The study results suggest that fully integrated plans retained their members at higher rates, which could be a sign of improved care experiences.

Keep Reading

Meyers, D. J., Macneal, E., Offiaeli, K., & Roberts, E. T. (2025). Enrollment in Dual-Eligible Special Needs Plans and disenrollment rates. JAMA Health Forum, 6(7), e251748. https://doi.org/10.1001/jamahealthforum.2025.1748

News Coverage

O’Connor, J. (2025, July 4). Dual eligibles more likely to stay in MA plans catered to them, research reveals – McKnight’s Long-Term Care News. McKnight’s Long-Term Care News. https://www.mcknights.com/news/dual-eligibles-more-likely-to-stay-in-ma-plans-catered-to-them-research-reveals/

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