The study concludes that significant differences in patient health burdens and social factors exist across MA plan types, highlighting the need for targeted interventions and further research into plan selection among this vulnerable population.
How do the characteristics of dual-eligible beneficiaries with full Medicaid vary across Medicare Advantage (MA) plans that attain different levels of coordination and integration with Medicaid?
This cross-sectional study including 147,923 dual-eligible beneficiaries found differences in the characteristics of full-benefit dual-eligible beneficiaries across MA plan types. Older dual-eligible individuals and those with multiple functional limitations were more likely and those in highly socioeconomically disadvantaged neighborhoods were less likely to enroll in fully integrated dual-eligible Special Needs Plans compared with less integrated plan types.
The results of this study suggest that there are notable health and demographic differences among dual-eligible beneficiaries across MA plans with varying levels of Medicaid coordination and integration..
Offiaeli, K., Meyers, D. J., Macneal, E., Johnston, K. J., Brown-Podgorski, B., & Roberts, E. T. (2025). Patient-Reported Characteristics across Dual-Eligible Medicare Advantage Plan Types. JAMA Network Open, 8(4), e255791. https://doi.org/10.1001/jamanetworkopen.2025.5791
O’Connor, J. (2025, April 21). Medicare Advantage study shows enrollment gaps among vulnerable dual-eligible seniors – McKnight’s Long-Term Care News. McKnight’s Long-Term Care News. https://www.mcknights.com/news/medicare-advantage-study-shows-enrollment-gaps-among-vulnerable-dual-eligible-seniors/
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