Changes in Care Associated With Integrating Medicare and Medicaid for Dual-Eligible Individuals.

ABSTRACT:

Importance

There is growing interest in expanding integrated models, in which 1 insurer manages Medicare and Medicaid spending for dually eligible individuals. Fully integrated dual-eligible special needs plans (FIDE-SNPs) are one of the largest integrated models, but evidence about their performance is limited.

Objective

To evaluate changes in care associated with integrating Medicare and Medicaid coverage in a FIDE-SNP in Pennsylvania.

Design, setting, and participants

This cohort study using a difference-in-differences analysis compared changes in care between 2 cohorts of dual-eligible individuals: (1) an integration cohort composed of Medicare Dual Eligible Special Needs Plan enrollees who joined a companion Medicaid plan following a 2018 state reform mandating M

SUBMITTER: Roberts ET 

PROVIDER: S-EPMC10739174 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature