Medicaid Spending in Coordination-Only Dual-Eligible Special Needs Plans.

ABSTRACT:

Importance

More than 4 million Medicare beneficiaries have enrolled in dual-eligible Special Needs Plans (D-SNPs), and coordination-only D-SNPs are common. Little is known about the impact of coordination-only D-SNPs on Medicaid-covered services and spending, including long-term services and supports, which are financed primarily by Medicaid.

Objective

To evaluate changes in Medicaid fee-for-service (FFS) spending before and after new enrollment in coordination-only D-SNPs vs new enrollment in non-D-SNP Medicare Advantage (MA) plans among community-living beneficiaries enrolled in both Medicare and North Carolina Medicaid.

Design, setting, and participants

This cohort study applied a new user, active comparator design to control for selection into MA and inverse proba

SUBMITTER: Coulibaly N 

PROVIDER: S-EPMC11755192 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature